Ischemic Vaso-Occlusive Retinopathy as Initial Presentation in Pediatric Systemic Lupus Erythematosus: A Case Report

    December 2021 in “ Journal of Rheumatic Diseases ”
    Jin Hwan Jeon, Hye Yeon Choi, Jung-Woo Rhim, Soo Young Lee, Young Gun Park, Dae Chul Jeong
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    TLDR Early treatment of pediatric lupus-related eye issues is crucial to prevent vision loss.
    A 13-year-old girl with pediatric systemic lupus erythematosus (pSLE) presented with ischemic vaso-occlusive retinopathy, a rare initial manifestation. She had symptoms including papules, crusts, fatigue, weight loss, and abrupt hair loss. Diagnostic tests confirmed SLE with multiple positive antibodies. She exhibited bi-nasal hemianopsia and severe visual impairment. Fundoscopy revealed extensive retinal damage. Treatment with intravitreal triamcinolone, dexamethasone implant, methylprednisolone, and photocoagulation improved her visual acuity and fever, though full visual recovery was not achieved. Early intervention in pSLE-related retinopathy is crucial to prevent vision loss.
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