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What is your approach to the diagnosis and management of optic chiasmitis in systemic lupus erythematosus?

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Mednet Member
Mednet Member
Rheumatology · Legacy Devers Eye Institute

Optic nerve involvement occurs in SLE but not commonly. I am aware of two case reports about 20 years apart describing inflammation of the optic chiasm in lupus. Both appeared the Neuroophthalmology and the most recent was 16:117, 2020. I would be cautious about making the diagnosis of lupus if sero...

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