Article ; Online: Hyperbaric Oxygen Therapy Combined with Immunosuppression for Acute Macular Neuroretinopathy in Systemic Lupus Erythematosus.
Ocular immunology and inflammation
2022 Volume 31, Issue 2, Page(s) 355–361
Abstract: Purpose: To describe the use of hyperbaric oxygen therapy (HBOT) in conjunction with immunosuppression for acute macular neuroretinopathy (AMN) in systemic lupus erythematosus (SLE).: Methods: Two known cases of SLE presented to us with blurred ... ...
Abstract | Purpose: To describe the use of hyperbaric oxygen therapy (HBOT) in conjunction with immunosuppression for acute macular neuroretinopathy (AMN) in systemic lupus erythematosus (SLE). Methods: Two known cases of SLE presented to us with blurred vision and paracentral scotomas due to AMN. Both cases reported worsening of their conditions despite the initiation of high-dose steroid therapy. HBOT was added on as a treatment modality to address vaso-occlusive ischemic injury. Results: Both patients underwent a total of twelve cycles of HBOT. Functional and anatomical improvements were noted immediately after the initiation of therapy and were maintained over more than one year of follow-up. No significant retinal thinning was noted on optical coherence tomography on disease resolution, as has been noted previously. Visual field scotoma showed a complete resolution. Conclusion: Our cases suggest that HBOT may have a role in aiding functional and anatomical recovery in AMN associated with SLE. |
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MeSH term(s) | Humans ; Hyperbaric Oxygenation ; Retinal Diseases/diagnosis ; Retinal Diseases/etiology ; Retinal Diseases/therapy ; Macula Lutea ; Acute Disease ; Scotoma/diagnosis ; Scotoma/etiology ; Scotoma/therapy ; Tomography, Optical Coherence/methods ; Lupus Erythematosus, Systemic/complications ; Lupus Erythematosus, Systemic/therapy ; Immunosuppression Therapy ; White Dot Syndromes/complications |
Language | English |
Publishing date | 2022-02-03 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 1193873-0 |
ISSN | 1744-5078 ; 0927-3948 |
ISSN (online) | 1744-5078 |
ISSN | 0927-3948 |
DOI | 10.1080/09273948.2022.2029497 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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