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COMBINED CENTRAL RETINAL ARTERY AND VEIN OCCLUSION IN A CASE OF SYSTEMIC LUPUS ERYTHEMATOSUS

VENKATESAN C CHELLAPPAN

Abstract


Systemic Lupus Erythematosus is a chronic   autoimmune multisystem disease. In eye it affects various parts of eyes gives rise to varied presentation. Very rarely and in very serious form it may cause combined central retinal artery and venous occlusion resulting in severe visual loss which is refractory to treatment. It may further progress to neovasular glaucoma secondary to neovascularisation of iris and angle structures.In SLE with raised antiphospholipid     antigen concentrations there is more risk of retinal vaso  occlusive disorders. It is still more rare if such vaso occulsive disorder presenting without raise of anti phospholipid antigen concentration. Here case history of a young female with    similar presentation is being presented due to the rarity and severity of the condition.

 


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R.R. Sivaraj, O.M Durrani, A.K Denniston, P.I Murray, Caroline Gordon, Ocular Manifestations of Systemic Lupus Erythematosis, Rheumatology 2007;46:1757-1762.

I.Leibovitch, M.Goldstein, A.Lowenstein, A.Barack, Combined central retinal artery and vein occlussion in a patient with Systemic Lupus Erythematosus., Rheumatology(2001)40(10): 1195-1196.doi10.1093/rheumatology/40.10.1195.

P.C Chang, W.S Chen, H. Y. Lin, H.M Lee, S.J Chen, Combined Central Retinal Artery and Vein Occlussion in a patient with Systemic Lupus Erythematosus and Anti Phospholipid Syndrome., Lupus 201:Feb 19(2)206-209.

Au A, O'Day J., Review of Severe Vaso Occlussive Retinopathy in Sstemic Lupus Erythematosus and the AntiPhospholipid syndrome: Associations, visual outcome, complications and treatment., Clin Experiment Ophthalmol. 2004 Feb;32(1):87-100.

Jabs DA, Fine SL, Hochberg MC, Newman SA, Heiner GG, Stenens MB, Severe Retinal Vasoocclussive Disease in Systemic Lupus Erythematosus. Arch Ophthalmol1986;104:558-63.

Shiyama O, UshiyamUa K, Koarada S et al.Retinal Disease in a patients with Systemic Lupus Erythematosus. Ann Rheum. Dis 2000;59:705-8.

Coppeto J, Lessel S. Retinopathy in Systemic Lupus Erythematosus. Arch Ophthalmol1977;95:794-7.

Fitzpatrick EP, Chesen N, Rahn EK, The Lupus Anti Coagulant and Retinal Vaso-occlussive Disease. Ann Ophthalmol1990;22: 148-52.


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