Transient myopic shift as the presenting symptom of systemic lupus erythematosus: a UBM study.
OBJECTIVE
To report ultrabiomicroscopy (UBM) evidence of choroid effusion as a cause of acute transient myopia in the onset of systemic lupus erythematosus.


METHODS
Observational case report.


METHODS
A Caucasian 16-year-old girl was referred to the Hematology Department for progressive anemia, intermittent fever, and blurred vision.


RESULTS
Systemic lupus erythematosus was confirmed by hematological investigations. UBM examination evidenced choroid effusion as the cause of a transient myopic shift.


CONCLUSIONS
Early diagnosis, thanks to the performance of an ultrasound examination, enabled the timely institution of therapy and hence a rapid resolution of the symptoms.
Guerriero
Silvana
S
Department of Ophthalmology and Otolaryngology, Bari University, Bari, Italy. silvanaguerriero@gmail.com
Ciracì
Lorenza
L
Cardia
Giuseppina
G
Vetrugno
Michele
M
D000293:Adolescent; D002829:Choroid / Q000378:metabolism / Q000473:pathology; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology; D033401:Microscopy, Acoustic; D009216:Myopia / Q000175:diagnosis* / Q000209:etiology*; D011239:Prednisolone / Q000627:therapeutic use; D014792:Visual Acuity / Q000187:drug effects
D005938:Glucocorticoids; D011239:Prednisolone