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Acute ocular ischaemia and orbital inflammation associated with systemic lupus erythematosus
  1. P Stavrou1,
  2. P I Murray1,
  3. K Batta2,
  4. C Gordon3
  1. 1Birmingham and Midland Eye Centre, City Hospital NHS Trust, Birmingham, UK
  2. 2Birmingham Skin Centre, City Hospital NHS Trust, Birmingham, UK
  3. 3Department of Rheumatology, City Hospital NHS Trust, Birmingham, UK
  1. Correspondence to: Professor P I Murray, Academic Unit of Ophthalmology, Division of Immunity and Infection, Birmingham and Midland Eye Centre, City Hospital NHS Trust, Birmingham B18 7QU, UK; P.I.Murray{at}bham.ac.uk

https://doi.org/10.1136/bjo.86.4.474

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    We report a patient with systemic lupus erythematosus (SLE) who developed bilateral ocular ischaemic syndrome in association with orbital inflammation leading to devastating visual loss.

    Case report

    A 73 year old white woman presented with unilateral acute anterior uveitis and polyarthropathy of the hands, knees, and neck. Over the next 4 years she suffered recurrent anterior uveitis, marginal keratitis, and episcleritis, which were treated with topical steroids. She had bilateral age related cataract and underwent left cataract surgery. Postoperatively, her visual acuities were 6/60 right eye and 6/9 left eye.

    She was admitted 7 months later with extensive erythematous, scaly plaques on sun exposed areas and a purpuric eruption over the abdomen, buttocks, and …

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