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ABSTRACT
Purpose
To report a rare case of bilateral retinopathy and optic neuropathy in a patient of systemic sclerosis (SSc).
Methods
Retrospective case report.
Results
A 30-year-old South Indian lady presented with bilateral pale disc oedema and telangiectatic disc vessels and bilateral drusen-like deposits (DLDs) in the macula. Fundus fluorescein angiography additionally revealed microaneurysmal dilatation and leakage from peripheral retinal vasculature and patchy choroidal ischemia. She had defective colour vision (OS) and a central scotoma with enlarged blind spot (OD) and centrocecal scotoma (OS). Systemic features and a strongly positive anticentromere antibody led to the diagnosis of limited cutaneous SSc with a score of 12 on the ACR/EULAR criteria.
Conclusions
We describe a rare case of bilateral retinopathy with DLDs and bilateral optic neuropathy in a non-hypertensive patient who was not previously diagnosed as SSc. A prior association of DLDs have not been described in SSc (PubMed Search).
DECLARATION OF INTEREST
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.