Angle-closure glaucoma as an initial presentation of systemic lupus erythematosus
Section snippets
Case report
A 40-year-old black woman presented with a 3-day history of decreased vision, red eyes, and retro-orbital pain. Past medical history was significant for hypertension, which was treated with a calcium channel blocker. She reported mild arthralgias, which were relieved by anti-inflammatory agents. There was no significant past ocular history.
Uncorrected visual acuity was 20/40 in both eyes. The acuity was correctable to 20/20 in both eyes with a −2.00 sphere. Applanation tensions were 64 mmHg in
Discussion
Systemic lupus erythematosus has been associated with numerous ocular disorders, including mucocutaneous diseases of the lid, Sjögren’s syndrome, conjunctivitis, episcleritis, scleritis, uveitis, retinal microangiopathy, papilledema, and other neuro-ophthalmic lesions.8, 9 Choroidopathy without secondary angle-closure glaucoma has been reported.8 We believe that this is the first report of ciliochoroidal effusions with secondary angle-closure glaucoma as an initial presentation of SLE.
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