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Incidental retinal vascular occlusions on hydroxychloroquine screening in patients with systemic lupus erythematosus

Authors Bajwa A, Khurana G, Kimpel D, Reddy A

Received 26 February 2015

Accepted for publication 26 March 2015

Published 28 May 2015 Volume 2015:8 Pages 121—126


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Asima Bajwa,1 Gitanjali Khurana,2 Donald Kimpel,2 Ashvini K Reddy1

1Department of Ophthalmology, University of Virginia, Charlottesville, VA, USA; 2Division of Clinical Rheumatology, Department of Internal Medicine, University of Virginia, Charlottesville, VA, USA

Objective: The proportion of patients with systemic lupus erythematosus (SLE) who manifest retinal involvement increases many fold in patients with active systemic disease. The objective of this report is to stress upon the significance of comprehensive ophthalmic assessment of all SLE patients to prevent and manage blinding ocular manifestations of the disease.
Methods: Retrospective case review.
Results: Incidental retinal vascular complications seen in patients undergoing baseline hydroxychloroquine screening.
Conclusion: The purpose of comprehensive ophthalmic screening in SLE patients is twofold. It will aid in the diagnosis and treatment of blinding ocular complications of the disease and monitor hydroxychloroquine macular toxicity.

Keywords: systemic lupus erythematosus, hydroxychloroquine, retinal vein occlusion, retinal artery occlusion

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