Coroidopatía lúpica: reporte de un caso

We report a case of bilateral choroidopathy in a 22-year-old woman with systemic lupus erythematosus diagnosed 6 years previously, and treated with mycophenolate mofetil and prednisone that ceased 4 months before ocular signs. She was admitted at a tertiary hospital center showing signs of lupus activity, and she referred blurred visión. Lupus choroidopathy was established as diagnosis, according to findings on fluorescein angiography as well as those on optical coherence tomography of macula, showing delay of choroidal filling and retinal pigment epithelial detachment. Systemic management was administered to the patient consisting of prednisone and cyclophosphamide, with visual acuity improvement. About one-third of patients suffering from systemic lupus erythematosus have ocular involvement, from the most frequent manifestation wich is keratoconjunctivitis sicca, to those that severely affect visión, such as lupus choroidopathy. This entity is rarely seen in systemic lupus erythematosus and only about 40 patients are found in the literature.