Acute myopic shift in a patient with systemic lupus erythematosus

Purpose: To describe a rare case of acute, transient myopic shift occurring as a feature of a flare of systemic lupus erythematosus. Observations: A 22-year-old Indigenous Australian woman with diagnosed systemic lupus erythematosus was admitted with blurry vision and periorbital oedema. She had a r...

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Main Authors: Jason Yosar, Eline Whist
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993619300647
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author Jason Yosar
Eline Whist
author_facet Jason Yosar
Eline Whist
author_sort Jason Yosar
collection DOAJ
description Purpose: To describe a rare case of acute, transient myopic shift occurring as a feature of a flare of systemic lupus erythematosus. Observations: A 22-year-old Indigenous Australian woman with diagnosed systemic lupus erythematosus was admitted with blurry vision and periorbital oedema. She had a refractive error of −7.50 DS in the right eye and −3.50 DS in the left eye and cotton wool spots throughout the posterior poles of the retina of each eye. Treatment with intravenous and oral steroids resulted in rapid resolution of myopia and improvement in visual acuity. Conclusions and importance: Systemic lupus erythematosus disproportionately affects more indigenous than non-indigenous Australians with greater disease burden and severity. This case describes a rare manifestation of this disease. Keywords: Myopia, Acute, Lupus
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spelling doaj.art-6c4a8fb266564d78adadd1af741eb9ed2022-12-21T19:12:51ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362019-12-0116Acute myopic shift in a patient with systemic lupus erythematosusJason Yosar0Eline Whist1Corresponding author. Royal Darwin Hospital, 105 Rocklands Dr, Tiwi, NT, 0810, Australia.; Ophthalmology Department, Royal Darwin Hospital, 105 Rocklands Dr, Tiwi, NT, AustraliaOphthalmology Department, Royal Darwin Hospital, 105 Rocklands Dr, Tiwi, NT, AustraliaPurpose: To describe a rare case of acute, transient myopic shift occurring as a feature of a flare of systemic lupus erythematosus. Observations: A 22-year-old Indigenous Australian woman with diagnosed systemic lupus erythematosus was admitted with blurry vision and periorbital oedema. She had a refractive error of −7.50 DS in the right eye and −3.50 DS in the left eye and cotton wool spots throughout the posterior poles of the retina of each eye. Treatment with intravenous and oral steroids resulted in rapid resolution of myopia and improvement in visual acuity. Conclusions and importance: Systemic lupus erythematosus disproportionately affects more indigenous than non-indigenous Australians with greater disease burden and severity. This case describes a rare manifestation of this disease. Keywords: Myopia, Acute, Lupushttp://www.sciencedirect.com/science/article/pii/S2451993619300647
spellingShingle Jason Yosar
Eline Whist
Acute myopic shift in a patient with systemic lupus erythematosus
American Journal of Ophthalmology Case Reports
title Acute myopic shift in a patient with systemic lupus erythematosus
title_full Acute myopic shift in a patient with systemic lupus erythematosus
title_fullStr Acute myopic shift in a patient with systemic lupus erythematosus
title_full_unstemmed Acute myopic shift in a patient with systemic lupus erythematosus
title_short Acute myopic shift in a patient with systemic lupus erythematosus
title_sort acute myopic shift in a patient with systemic lupus erythematosus
url http://www.sciencedirect.com/science/article/pii/S2451993619300647
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