Bilateral optic neuropathy as the initial presentation in a patient with systemic lupus erythematosus

Abstract

Optic neuropathy is a very rare sight-threatening complication associated with systemic lupus erythematosus (SLE). A 35-year-old female presented with sudden-onset bilateral loss of vision of 6 weeks’ duration. She had a positive history of skin rash, arthralgia, and fever. Funduscopy revealed bilateral pale optic discs. Laboratory and radiological investigations led to a diagnosis of SLE-associated optic neuropathy. The patient was treated with pulse steroids and hydroxychloroquine. No improvement in vision was noted in the initial follow-up after the initiation of treatment.