Role of Angiography in Systemic Lupus Erythematosus-Induced Choroiditis

Abstract

Purpose: To report a case of systemic lupus erythematosus-induced choroidal vasculitis.

Methods: A 34-year-old woman with a long-standing history of systemic lupus erythematosus had a sudden painless loss of vision in the right eye over 12 hours. Ocular examination revealed a visual acuity of counting fingers of 1 foot on the right eye and 20/20 on the left. There was a relative afferent pupillary defect on the right side with a pink, distinct optic disk margin.

Results: Optical coherence tomography of the macula and fundus fluorescein angiogram for the eyes were normal. The MRI brain and orbit with the cerebral MRA did not show signs of optic neuritis or occipital vasculitic changes. However, the indocyanine green angiography revealed patches of ill-defined areas of choroidal hypofluorescence in the early- to mid-phase in the macula region.

Conclusion: ICGA becomes the crucial tool in unmasking the presence of choroidal vasculitis.

Keywords:

• Choroidal Vasculitis
• Choroiditis
• Choroidopathy
• Indocyanine Green Angiography (ICGA)
• Systemic Lupus Erythematosus

DECLARATION OF INTEREST

The authors have no other financial or proprietary interest in this manuscript to declare.

FUNDING

This work was funded by University Malaya, a public institution of higher learning [grant number H-20001-00-E000058].

Additional information

Funding

This work was funded by University Malaya, a public institution of higher learning [grant number H-20001-00-E000058].