SYSTEMIC LUPUS-ERYTHEMATOSUS WITH CHOROIDOPATHY AND SEROUS RETINAL-DETACHMENT

Systemic lupus erythematosus associated ocular manifestations usually consist of cotton-wool spots and retinal hemorrhages. The authors repo rt one case of lupus choroidopathy revealed by bilateral serous retina l detachment, occurring 4 months after a systemic flare-up of the dise ase. An immune complexes-mediated phenomenon is involved in these mani festations, which are usually controlled by systemic corticosteroids a nd immunosuppressive agents. Plasma exchanges were successfully applie d in this case, resulting in a disappearance of the retinal detachment in one month.