A Case of Focal Laser Photocoagulation Added to Systemic Immunomodulatory Therapy for Bilateral Lupus Chorioretinopathy.

Kim, Dong Geun; Yoon, Chang Ki; Kim, Hyun Woong

doi:2016.57.5.847

J Korean Ophthalmol Soc > Volume 57(5); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(5):847-852.
DOI: https://doi.org/10.3341/jkos.2016.57.5.847 Published online May 15, 2016.

A Case of Focal Laser Photocoagulation Added to Systemic Immunomodulatory Therapy for Bilateral Lupus Chorioretinopathy.

Dong Geun Kim, Chang Ki Yoon, Hyun Woong Kim

Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. maekbak@hanmail.net

양안의 루푸스 맥락망막병증에서 전신약물치료에 병합하여 시행한 국소레이저 치료 1예

김동근⋅윤창기⋅김현웅

인제대학교 의과대학 부산백병원 안과학교실

Received: 12 November 2015 • Revised: 3 February 2016 • Accepted: 27 March 2016

Abstract

PURPOSE
To report a patient diagnosed with bilateral lupus chorioretinopathy who received focal laser photocoagulation. CASE SUMMARY: A 20-year-old female presented with decreased vision in her left eye. She had been treated with systemic corticosteroids, immunosuppressants, plasmapheresis and hemodialysis during systemic lupus erythematosus flare-up. Retinal hemorrhage and cotton wool spots were observed in both eyes on funduscopic examination. Optical coherence tomography showed bilateral serous retinal detachment. Flurorescein angiography (FA) revealed multiple leakages of dye in both maculae. Despite improvements of the systemic disease, subretinal fluid was not resolved. Focal laser photocoagulation was applied to multiple leakage spots identified on FA in both eyes and serous detachment improved. After several months, additional focal laser photocoagulation was performed because there was a small amount of subretinal fluid, which was completely resolved.

Key Words: Chorioretinopathy;Choroidopathy;Focal laser photocoagulation;Systemic lupus erythematosus