Table 1.
Ocular involvement in systemic lupus erythematosus.
Structure | Clinical findings |
---|---|
Orbital and external eye disease | Discoid lupus-type rash over the eyelids |
Panniculitis | |
Orbital masses | |
Periorbital edema | |
Orbital myositis | |
Orbital vasculitis, acute orbital ischemia and infarction | |
Conjunctival involvement | Conjunctivitis |
Corneal involvement | Dry eye syndrome |
Recurrent corneal erosions | |
Peripheral corneal infiltrates | |
Peripheral ulcerative keratitis | |
Interstitial keratitis | |
Endotheliitis | |
Keratoconus | |
Sclera and Episclera | Scleritis |
Episcleritis | |
Uveal involvement | Anterior uveitis |
Retinal involvement | Lupus retinopathy (cotton wool spots, intraretinal hemorrhages, and vascular tortuosity) |
Retinal hard exudates | |
Retinal vasculitis | |
Retinal artery and/or vein occlusion | |
Arteriolar narrowing and arteriovenous crossing changes | |
Macular pigmentary mottling | |
Retinal scarring | |
Macular infarction | |
Choroidal involvement | Central serous chorioretinopathy |
Neuro-ophthalmic findings | Optic nerve involvement |
Optic neuritis | |
Ischemic optic neuropathy | |
Papilledema | |
Central nervous system vasculitis | |
Internuclear ophthalmoplegia | |
Nystagmus | |
Cranial nerve palsies | |
Homonymous hemianopia |