Optic neuropathy and chiasmopathy as presenting manifestations of systemic lupus erythematosus

Abstract

A patient presented with subacute onset of bilateral visual loss associated with malaise, arthralgias, and itching. Her visual acuity was at the level of light perception in both eyes with bilaterally dilated, poorly reactive pupils and papilledema. The magnetic resonance imaging (MRI) revealed enlargement and enhancement with gadolinium of the optic nerves and the chiasm. She was diagnosed with systemic lupus erythematosus (SLE) based on the clinical, radiological, and laboratory findings.

• Systemic Lupus Erythematosus
• Optic Neuropathy
• Chiasmopathy