Drainage and analysis of suprachoroidal fluid in a patient with acute systemic lupus erythematous
Purpose: To describe a case of a patient with acute systemic lupus erythematous (SLE) causing choroidal effusions and to report a novel technique for evaluation of the choroidal fluid which sheds light on effusion pathogenesis. Observations: A 37 year-old woman was referred for decreased vision, eye...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-04-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993616301037 |
| _version_ | 1819034298140852224 |
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| author | James A. Stefater Dean Eliott Leo A. Kim |
| author_facet | James A. Stefater Dean Eliott Leo A. Kim |
| author_sort | James A. Stefater |
| collection | DOAJ |
| description | Purpose: To describe a case of a patient with acute systemic lupus erythematous (SLE) causing choroidal effusions and to report a novel technique for evaluation of the choroidal fluid which sheds light on effusion pathogenesis.
Observations: A 37 year-old woman was referred for decreased vision, eye pain and shortness of breath. The patient had bilateral angle closure glaucoma from choroidal effusions and bilateral pleural effusions. Work-up revealed new onset acute SLE. A technique for obtaining suprachoroidal fluid is described, and the fluid was analyzed using Light's criteria and found to be exudative in nature.
Conclusions and importance: There has been speculation as to pathogenesis of choroidal effusions in a variety of conditions, and many authors believe the most likely process to be transudative. The exudative nature of the fluid in our patient suggests that choroidal effusions in acute SLE are likely caused by inflammation, and not secondary to hypoalbuminemia or another transudative process. Similar analyses of suprachoroidal fluid in other disease processes may help elucidate the underlying pathogenesis and may possibly guide treatment. |
| first_indexed | 2024-12-21T07:31:30Z |
| format | Article |
| id | doaj.art-faff8a0e9b0e4f158beb13153369485a |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-21T07:31:30Z |
| publishDate | 2017-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-faff8a0e9b0e4f158beb13153369485a2022-12-21T19:11:32ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362017-04-015C293210.1016/j.ajoc.2016.11.001Drainage and analysis of suprachoroidal fluid in a patient with acute systemic lupus erythematousJames A. StefaterDean EliottLeo A. KimPurpose: To describe a case of a patient with acute systemic lupus erythematous (SLE) causing choroidal effusions and to report a novel technique for evaluation of the choroidal fluid which sheds light on effusion pathogenesis. Observations: A 37 year-old woman was referred for decreased vision, eye pain and shortness of breath. The patient had bilateral angle closure glaucoma from choroidal effusions and bilateral pleural effusions. Work-up revealed new onset acute SLE. A technique for obtaining suprachoroidal fluid is described, and the fluid was analyzed using Light's criteria and found to be exudative in nature. Conclusions and importance: There has been speculation as to pathogenesis of choroidal effusions in a variety of conditions, and many authors believe the most likely process to be transudative. The exudative nature of the fluid in our patient suggests that choroidal effusions in acute SLE are likely caused by inflammation, and not secondary to hypoalbuminemia or another transudative process. Similar analyses of suprachoroidal fluid in other disease processes may help elucidate the underlying pathogenesis and may possibly guide treatment.http://www.sciencedirect.com/science/article/pii/S2451993616301037Choroidal effusionLupus choroidopathyLight's criteriaExudativeTransudative |
| spellingShingle | James A. Stefater Dean Eliott Leo A. Kim Drainage and analysis of suprachoroidal fluid in a patient with acute systemic lupus erythematous American Journal of Ophthalmology Case Reports Choroidal effusion Lupus choroidopathy Light's criteria Exudative Transudative |
| title | Drainage and analysis of suprachoroidal fluid in a patient with acute systemic lupus erythematous |
| title_full | Drainage and analysis of suprachoroidal fluid in a patient with acute systemic lupus erythematous |
| title_fullStr | Drainage and analysis of suprachoroidal fluid in a patient with acute systemic lupus erythematous |
| title_full_unstemmed | Drainage and analysis of suprachoroidal fluid in a patient with acute systemic lupus erythematous |
| title_short | Drainage and analysis of suprachoroidal fluid in a patient with acute systemic lupus erythematous |
| title_sort | drainage and analysis of suprachoroidal fluid in a patient with acute systemic lupus erythematous |
| topic | Choroidal effusion Lupus choroidopathy Light's criteria Exudative Transudative |
| url | http://www.sciencedirect.com/science/article/pii/S2451993616301037 |
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