Retinal cases & brief reports · 2010
Posterior scleritis in patients with systemic lupus erythematosus.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Wong Robert W, Chan Annie, Johnson Robert N, McDonald H Richard, Kumar Abha, Gariano Ray, Cunningham Emmett
Аннотация
PURPOSE: To describe three cases of posterior scleritis associated with systemic lupus erythematosus.
METHODS: Retrospective chart review including ophthalmic examination, fundus photography, optical coherence tomography, angiography, ultrasonography, and/or magnetic resonance imaging.
RESULTS: Three patients presented with blurred vision, red eye, and/or eye pain in one or both eyes. The diagnosis of posterior scleritis was confirmed in each patient using B-scan ultrasonography. One patient presented with giant nodular scleritis. In two patients, posterior scleritis was the presenting sign of systemic lupus erythematosus. Two patients received systemic corticosteroids together with noncorticosteroid immunosuppressive medications. One patient received topical and periocular injections of corticosteroids. All three patients showed prompt resolution of their posterior scleritis in response to treatment.
CONCLUSION: While uncommon, posterior scleritis may occur in patients with systemic lupus erythematosus and, in some instances, may be the presenting sign of the disease. Prompt diagnosis and treatment was associated with good visual outcomes in our patients.
METHODS: Retrospective chart review including ophthalmic examination, fundus photography, optical coherence tomography, angiography, ultrasonography, and/or magnetic resonance imaging.
RESULTS: Three patients presented with blurred vision, red eye, and/or eye pain in one or both eyes. The diagnosis of posterior scleritis was confirmed in each patient using B-scan ultrasonography. One patient presented with giant nodular scleritis. In two patients, posterior scleritis was the presenting sign of systemic lupus erythematosus. Two patients received systemic corticosteroids together with noncorticosteroid immunosuppressive medications. One patient received topical and periocular injections of corticosteroids. All three patients showed prompt resolution of their posterior scleritis in response to treatment.
CONCLUSION: While uncommon, posterior scleritis may occur in patients with systemic lupus erythematosus and, in some instances, may be the presenting sign of the disease. Prompt diagnosis and treatment was associated with good visual outcomes in our patients.