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Ischemic choroidopathy in primary Sjögren's syndrome
P Rapoport1, H Merle, D Smadja
1Department of Ophthalmology, Centre hospitalier universitaire de Fort de France.
Acta Ophthalmologica Scandinavica
|November 24, 1998
Summary
Primary Sjögren's syndrome can cause ischemic choroidopathy and optic neuropathy. This condition should be considered in the differential diagnosis of these visual impairments.
Area of Science:
- Ophthalmology
- Rheumatology
- Neurology
Background:
- Primary Sjögren's syndrome is an autoimmune disorder.
- Central nervous system involvement can occur in primary Sjögren's syndrome.
Observation:
- A 68-year-old woman presented with ischemic choroidopathy and optic neuropathy.
- Her condition was associated with primary Sjögren's syndrome and central nervous system involvement.
Findings:
- Diagnosis of primary Sjögren's syndrome was confirmed by keratoconjunctivitis sicca, salivary gland biopsy, and serologic abnormalities.
- Fluorescein angiography revealed signs highly suggestive of ischemic choroidopathy.
- Treatment involved high-dose steroids and azathioprine for neurological recurrences.
Implications:
- Primary Sjögren's syndrome is a potential cause of ischemic choroidopathy.
- Ophthalmologists should consider Sjögren's syndrome in patients with ischemic choroidopathy.
- Early diagnosis and treatment can prevent further visual and neurological complications.