Systemic Lupus Erythematosus Choroidopathy

A 36-year old woman presented with a dark spot in her right eye for one week. She had a history of systemic lupus erythematosus (SLE) diagnosed on the basis of ANA positivity with a 1:320 titer, joint swelling, butterfly rash, idiopathic thrombocytopenic purpura and anti-phospholipid syndrome with positive anti-cardiolipin antibodies. She had been diagnosed with lupus choroidopathy two months prior to her visit and was being treated with CellCept and Prednisone. Her visual acuities were hand motions in the right eye and 20/20 in the left eye. Her slit lamp examination was normal. Dilated fundus exam revealed multiple areas of subretinal fluid and retinal pigment epithelial (RPE) detachments in the macular and peripapillary areas of both eyes (Figure 1). Optical computerized tomography (OCT) confirmed the subretinal fluid and RPE detachments (Figure 1).