Central Retinal Artery Occlusion as a Potential Indicator for Systemic Lupus Erythematosus

Lupus can affect multiple parts of the body, including the eyes. Researchers looked at the case of a young woman who came to the hospital after experiencing sudden, painless vision loss in her right eye over two days. An ophthalmologist conducted a visual examination which showed central retinal artery occlusion (CRAO), the blockage of a major artery in the retina that causes severe vision loss or blurriness. 

The woman’s physical examination revealed malar rash, alopecia, polyarthralgia (a non-inflammatory condition that causes pain in multiple joints), and Raynaud Phenomenon which raised suspicions of a connective tissue disorder and led to a referral to a rheumatologist. Laboratory tests confirmed systemic lupus erythematosus (SLE). Despite treatment with methylprednisolone , hydroxychloroquine, aspirin, and nifedipine, her vision did not return. 

While CRAO is rare in people living with lupus, it is a serious complication of SLE that often results in vision loss. This case highlights the importance of considering SLE in patients with sudden vision loss and other related symptoms. It also underscores the importance of interdisciplinary collaboration between healthcare professionals to ensure comprehensive patient care. Learn more about lupus and the eyes.