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  • Title: Bilateral Retinopathy and Optic Neuropathy Associated with Systemic Sclerosis.
    Author: Baharani A, Reddy P RR.
    Journal: Ocul Immunol Inflamm; 2020 Jul 03; 28(5):802-805. PubMed ID: 31566453.
    Abstract:
    PURPOSE: To report a rare case of bilateral retinopathy and optic neuropathy in a patient of systemic sclerosis (SSc). METHODS: Retrospective case report. RESULTS: A 30-year-old South Indian lady presented with bilateral pale disc oedema and telangiectatic disc vessels and bilateral drusen-like deposits (DLDs) in the macula. Fundus fluorescein angiography additionally revealed microaneurysmal dilatation and leakage from peripheral retinal vasculature and patchy choroidal ischemia. She had defective colour vision (OS) and a central scotoma with enlarged blind spot (OD) and centrocecal scotoma (OS). Systemic features and a strongly positive anticentromere antibody led to the diagnosis of limited cutaneous SSc with a score of 12 on the ACR/EULAR criteria. CONCLUSIONS: We describe a rare case of bilateral retinopathy with DLDs and bilateral optic neuropathy in a non-hypertensive patient who was not previously diagnosed as SSc. A prior association of DLDs have not been described in SSc (PubMed Search).
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