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Bilateral ischaemic retinal vasculopathy in scleroderma
  1. M Minasian1,
  2. M Stanford1,
  3. E Graham1,
  4. C P Denton2,
  5. C Black2
  1. 1Medical Eye Unit, St Thomas’s Hospital, London, UK
  2. 2Scleroderma Unit, Royal Free Hospital, London, UK
  1. Correspondence to: Meg Minasian Medical Eye Unit, St Thomas’s Hospital, London, UK;

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Patients with scleroderma experience ophthalmic symptoms related to dry eyes. Involvement of the posterior segment is often subclinical and visual loss as a direct result of the disease is rare. We report for the first time a patient with a bilateral ischaemic retinopathy with neovascularisation that responded to panretinal scatter photocoagulation.

Case report

A 51 year old woman with known scleroderma presented with a 9 month history of increasing visual loss. She had presented at the age of 49 with a 4 year history of typical Raynaud’s phenomenon and a 6 month history of symmetrical skin induration affecting her hands, feet, and face.

Subsequently skin sclerosis extended over the chest wall and proximal limbs, typical of diffuse systemic sclerosis. She also had oesophageal involvement and interstitial lung fibrosis. Initially she …

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