Therapy Insight: The Recognition and Treatment of Retinal Manifestations of Systemic Vasculitis

Petros Aristodemou; Miles Stanford

Disclosures

Nat Clin Pract Rheumatol. 2006;2(8):443-451. 

In This Article

Conclusions

With the exception of giant cell arteritis and hypertensive retinopathy, fundal signs related to systemic vasculitides are uncommon, or even rare. The vasculitic process typically affects the retinal arteries rather than the veins, and these signs are not specific to any type of vasculitis. Often, the development of retinal signs heralds a relapse of the underlying vasculitis and urgent referral to a rheumatologist is required. Retinal signs on their own rarely require specific treatment, although complications such as neovascularization secondary to retinal ischemia (as is seen, rarely, in lupus and scleroderma) might require laser photocoagulation. Finally, the possibility that the retinal signs might be secondary to iatrogenic immunosuppression should always be borne in mind, as rapid and specific treatment for retinal infections might preserve the patient's sight.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.

processing....