Retinal Vasculitis in a Patient with Rhupus

Ocul Immunol Inflamm. 2024 Jan 4:1-3. doi: 10.1080/09273948.2023.2295533. Online ahead of print.ABSTRACTThis case report describes a case of retinal vasculitis in a patient with Rhupus, which has not been reported earlier in the literature. A 39-year-old female patient with a history of Rhupus presented with sudden vision loss in her left eye. The patient was treated earlier, for her polyarthritis, with oral corticosteroids, hydroxychloroquine, and oral methotrexate, which were discontinued after 1 year of treatment. At presentation, fundus examination of the left eye revealed mild vitritis, perivenous sheathing, and hemorrhagic periphlebitis. The patient was administered three doses of pulse corticosteroid, resulting in a reduction in retinal vasculitis and macular edema. The patient was continued on oral corticosteroids and started on oral methotrexate and hydroxychloroquine. At 6-week follow-up, the patient's vision had improved to 6/9, and fundus examination revealed resolving phlebitis and retinal hemorrhages. This case also highlights the importance of prompt diagnosis and treatment of retinal vasculitis in patients with Rhupus.PMID:38175172 | DOI:10.1080/09273948.2023.2295533
Source: Ocular Immunology and Inflammation - Category: Allergy & Immunology Authors: Source Type: research