Intravitreal bevacizumab for severe vaso-occlusive retinopathy in systemic lupus erythematosus.

Abstract:

:Severe vaso-occlusive retinopathy is a relatively rare form of retinopathy in systemic lupus erythematosus (SLE). We report two patients with severe vaso-occlusive retinopathy in SLE who were treated with intravitreal bevacizumab (IVB). (Patient 1) A 35-year-old woman presented with left visual loss and was diagnosed with SLE after systemic evaluation. Despite systemic immunosuppressive therapy, retinal vascular obstruction progressed and neovascularization of the disk (NVD) developed. The patient was treated with IVB and pan retinal photocoagulation. The progression of vascular obstruction ceased and regressed. (Patient 2) A 24-year-old man with SLE presented with left visual loss. There was retinal vascular obstruction with macular edema in both eyes, and then the patient was treated with IVB. One month after injection, minimal capillary nonperfusion increased to 10 disk area, and 5 months later, neovascularization elsewhere (NVE) developed in the right eye. Six months after injection, vitreous hemorrhage with florid NVE and NVD developed in the left eye. In selected severe vaso-occlusive retinopathy in SLE patients, IVB may be an adjuvant option for treatment.

journal_name

Rheumatol Int

authors

Lee WJ,Cho HY,Lee YJ,Lee BR,Shin JP

doi

10.1007/s00296-011-2139-9

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

247-51

issue

1

eissn

0172-8172

issn

1437-160X

journal_volume

33

pub_type

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