Transient myopic shift as the presenting symptom of systemic lupus erythematosus: a UBM study

Ocul Immunol Inflamm. 2010 Oct;18(5):383-4. doi: 10.3109/09273948.2010.498655.

Abstract

Purpose: To report ultrabiomicroscopy (UBM) evidence of choroid effusion as a cause of acute transient myopia in the onset of systemic lupus erythematosus.

Design: Observational case report.

Methods: A Caucasian 16-year-old girl was referred to the Hematology Department for progressive anemia, intermittent fever, and blurred vision.

Results: Systemic lupus erythematosus was confirmed by hematological investigations. UBM examination evidenced choroid effusion as the cause of a transient myopic shift.

Conclusions: Early diagnosis, thanks to the performance of an ultrasound examination, enabled the timely institution of therapy and hence a rapid resolution of the symptoms.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Choroid / metabolism
  • Choroid / pathology
  • Female
  • Glucocorticoids / therapeutic use
  • Humans
  • Lupus Erythematosus, Systemic / complications*
  • Lupus Erythematosus, Systemic / diagnostic imaging*
  • Lupus Erythematosus, Systemic / drug therapy
  • Lupus Erythematosus, Systemic / physiopathology
  • Microscopy, Acoustic*
  • Myopia / diagnosis*
  • Myopia / etiology*
  • Prednisolone / therapeutic use
  • Visual Acuity / drug effects

Substances

  • Glucocorticoids
  • Prednisolone