Optometrist, do you know the basics, symptoms and possible eyefindings of Systemic Lupus Erythematosus (SLE) during an eye examination?

Abstract

SLE is a rare, chronic autoimmune disease, with 90% of affected women being of childbearing age. The disease is variable and multifaceted, and any organ can be affected. Common symptoms include for example rashes, fever, arthritis, hair loss, heart problems, kidney damage, low blood cell counts. Reduced visual acuity and findings in the posterior part of the eye, such as leaks, blockages or swelling, can be presenting sign of the systemic disease. Eye symptoms occur in every third person, ranging from mild to very serious complications. When a balance of treatment is found, hydroxychloroquine and other drugs used play major role in improving visual acuity and redusing other eye symptoms.