• Lupus · Feb 2010

    Case Reports

    Combined central retinal artery and vein occlusion in a patient with systemic lupus erythematosus and anti-phospholipid syndrome.

    • P-C Chang, W-S Chen, H-Y Lin, H-M Lee, and S-J Chen.
    • Department of Ophthalmology, Taipei Veterans General Hospital, Taipei 11217, Taiwan.
    • Lupus. 2010 Feb 1; 19 (2): 206-9.

    AbstractCombined central retinal artery occlusion and central retinal venous occlusion have been rarely reported in patients with systemic lupus erythematosus and anti-phospholipid syndrome. The impact of this severe vaso-occlusive disease on vision is usually devastating and permanent in spite of vigorous treatment. We report herein a 35-year-old female patient displaying a transient and reversible process. Her best-corrected visual acuity improved from 6/60 to 6/8.6 1 day later, before the initiation of systemic corticosteroid and anticoagulant treatment. The retina regained a normal appearance with her vision recovering to 6/6 2 weeks after the episode of temporary vision loss. Her rapid recovery suggests that continued anti-coagulation therapy and close follow-up to prevent severe complications and recurrent thrombosis is warranted.

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