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Retinal Vasculitis in a Patient with Rhupus.
- Source :
-
Ocular immunology and inflammation [Ocul Immunol Inflamm] 2024 Oct; Vol. 32 (8), pp. 1907-1909. Date of Electronic Publication: 2024 Jan 04. - Publication Year :
- 2024
-
Abstract
- This case report describes a case of retinal vasculitis in a patient with Rhupus, which has not been reported earlier in the literature. A 39-year-old female patient with a history of Rhupus presented with sudden vision loss in her left eye. The patient was treated earlier, for her polyarthritis, with oral corticosteroids, hydroxychloroquine, and oral methotrexate, which were discontinued after 1 year of treatment. At presentation, fundus examination of the left eye revealed mild vitritis, perivenous sheathing, and hemorrhagic periphlebitis. The patient was administered three doses of pulse corticosteroid, resulting in a reduction in retinal vasculitis and macular edema. The patient was continued on oral corticosteroids and started on oral methotrexate and hydroxychloroquine. At 6-week follow-up, the patient's vision had improved to 6/9, and fundus examination revealed resolving phlebitis and retinal hemorrhages. This case also highlights the importance of prompt diagnosis and treatment of retinal vasculitis in patients with Rhupus.
- Subjects :
- Humans
Female
Adult
Tomography, Optical Coherence
Methotrexate therapeutic use
Visual Acuity physiology
Hydroxychloroquine therapeutic use
Fundus Oculi
Retinal Hemorrhage diagnosis
Retinal Hemorrhage etiology
Retinal Hemorrhage drug therapy
Administration, Oral
Retinal Vasculitis diagnosis
Retinal Vasculitis drug therapy
Fluorescein Angiography
Glucocorticoids therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 1744-5078
- Volume :
- 32
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Ocular immunology and inflammation
- Publication Type :
- Academic Journal
- Accession number :
- 38175172
- Full Text :
- https://doi.org/10.1080/09273948.2023.2295533