PMC3764970_01
Findings for a 42-year-old woman with SLE in her right (a-d) and left (e-h) eye. No abnormalities are observed in her iris (a, d). Fundus photographs show no specific retinochoroidal abnormalities in either eye, with the exception of optic disc atrophy in her right eye (b) and a peripapillary small hemorrhage in her left eye (f). Fluorescein angiography reveals no dye leakage or pooling (c, g). NIR images reveal multiple bright patchy lesions in the posterior pole and in the mid-periphery of the fundus of both eyes (d, h). The hyperreflective point at the center of the image is an optical artifact.
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F1
Ocular pressures and anterior segments were normal (fig. 1a, e). Fundus examination showed no specific retinochoroidal abnormalities with the exception of optic disc atrophy due to central retinal artery occlusion in her right eye (fig. 1b) and a peripapillary small hemorrhage in her left eye (fig. 1f). Fluorescein angiography revealed no dye leakage and pooling (fig. 1c, g). However, NIR (Heidelberg Retina Angiograph 2, Heidelberg Engineering, Heidelberg, Germany) showed multiple bright patchy lesions in the choroid of the posterior pole and the mid-periphery of the fundus in both eyes (fig. 1d, h).
Horizontal OCT findings in a 42-year-old woman with SLE in her left eye. Note the irregular hyperreflectance foci in the choroid (arrows).
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F2
OCT (RS-3000, NIDEK, Gamagori, Japan) images of these lesions revealed irregular, hyperreflective choroidal foci (fig. 2).