Bilateral combined central retinal artery and vein occlusion in systemic lupus erythematosus resulting in complete blindness

Abstract

Sir, Bilateral combined central retinal artery and vein occlusion in systemic lupus erythematosus resulting in complete blindness

Delayed cilioretinal artery occlusion after a hemiretinal vein occlusion

“…Furthermore, the perfusion pressure in the choroidal vascular bed is lower than in the CRA [6]. The incidence of combined CRA and CRVO is much rarer with the pathogenesis attributable to systemic thrombotic and vasculitic disorders [7][8][9]. In HRVO, when one of the two trunks of the central retinal vein is occluded, the above-mentioned mechanisms probably apply to the retinal hemisphere drained by the occluded trunk.…”

Occlusion combinée de l’artère centrale de la rétine et de la veine centrale de la rétine révélant une maladie de Behçet

“…Des cas isolés ont été rapportés dans le cadre de certaines vasculites systémiques, de troubles rhéologiques, de pathologies tumorales, de pathologies infectieuses, de pathologies oculaires et après anesthésie rétrobulbaire [4,5].…”

Ocular Manifestations in Systemic Lupus Erythematosus

“…In patients with both SLE and antiphospholipid antibodies, the pathogenesis of severe vaso-occlusive retinopathy is attributed to thrombosis associated with antiphospholipid syndrome, rather than the immune complex mediated vasculitis related to SLE [84]. Isolated retinal vein occlusion, retinal artery occlusion, or combine retinal artery and vein occlusion have been reported [82,85,86]. More details about role of antiphospholipid syndrome related to ocular manifestations will discuss later in this article.…”

“…Retinal vein occlusion and/or retinal artery occlusion: This is a rare form of retinal vascular disease that is often associated with poor visual prognosis [82]. There is an elevated risk for patients with SLE to develop retinal vascular occlusion [83].…”