Transient Myopic Shift as the Presenting Symptom of Systemic Lupus Erythematosus: A UBM Study

Abstract

Purpose: To report ultrabiomicroscopy (UBM) evidence of choroid effusion as a cause of acute transient myopia in the onset of systemic lupus erythematosus.

Design: Observational case report.

Methods: A Caucasian 16-year-old girl was referred to the Hematology Department for progressive anemia, intermittent fever, and blurred vision.

Results: Systemic lupus erythematosus was confirmed by hematological investigations. UBM examination evidenced choroid effusion as the cause of a transient myopic shift.

Conclusions: Early diagnosis, thanks to the performance of an ultrasound examination, enabled the timely institution of therapy and hence a rapid resolution of the symptoms.

KEYWORDS::

• ciliary body
• myopic shift
• systemic lupus erythematosus
• UBM
• vasculitis

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.