Optic neuropathy in systemic lupus erythematosus

Arch Ophthalmol. 1986 Apr;104(4):564-8. doi: 10.1001/archopht.1986.01050160120026.


We report data from seven cases of optic neuropathy in systemic lupus erythematosus. The visual outcome varied, but improvement occasionally occurred following treatment with corticosteroids. The clinical picture was variable and could present as acute retrobulbar optic neuritis, ischemic optic neuropathy, or slowly progressive visual loss. Visual evoked response testing revealed increased latency in two patients and loss of amplitude in two others; a fifth patient had both findings in the involved eye. Despite the variable presentation, the probable pathogenesis in all cases is vaso-occlusive disease in small vessels of the optic nerves.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Evoked Potentials, Visual
  • Female
  • Humans
  • Lupus Erythematosus, Systemic / complications*
  • Middle Aged
  • Optic Neuritis / etiology*
  • Optic Neuritis / physiopathology
  • Visual Acuity