Journal of Clinical and Experimental Ophthalmology
Open Access

Abstract

Bilateral Choroidopathy, Nephritis and Hypertension in Systemic Lupus Erythematosus

Melissa Alexandre Fernandes, Arnaldo Dias-Santos, Mario Gois, Isabel Domingues, Rui Proença and Maria Francisca Moraes-Fontes

A 18-year-old woman with systemic lupus erythematosus (SLE) presented with right sided migraine and blurred vision of the right eye. Ophthalmologic evaluation revealed multiple bilateral exudative retinal detachments, with increased choroidal thickness measured with optical coherence tomography (OCT). Acute renal dysfunction contraindicated fluorescein or indocyanine green angiography. The presence of choroidopathy was the first presentation of lupus nephritis. She was treated with corticosteroids and immunosuppressive agents with resolution of serous retinal detachments and complete remission of proteinuria and renal function. OCT may be a key exam for the early diagnosis of choroidopathy and implementation of appropriate therapeutic measures, necessary to prevent permanent damage.