A 17-year-old with SLE presents with acute Vision Loss and chronic headaches. Explore the diagnostic process behind this complex ophthalmologic emergency.
A 17-year-old girl with systemic lupus erythematosus presented to the ophthalmology clinic with a 2-day history of decreased vision in her right eye and a 6-month history of intermittent headaches. She stopped treatment with methylprednisolone and hydroxychloroquine 2 years ago. Examination of the fundus of the right eye is as shown. What is the diagnosis?
What is the most likely diagnosis?
Antiphospholipid syndrome, Lupus anticoagulant, Retinal artery occlusion, Systemic Lupus Erythematosus, Thrombosis
