Description

Systemic lupus erythematosus (SLE) may affect all parts of the eye. One presentation is red eye.


Localization in the eye: external ocular and anterior segment

 

Reasons for "red eye" due to SLE:

(1) keratoconjunctivitis sicca (dry eye)

(2) episcleritis

(3) scleritis (anterior-posterior, diffuse-nodular, necrotizing)

(4) chronic noninfectious conjunctivitis

(5) keratitis or keratopathy (superficial punctate keratopathy, recurrent epithelial erosions, peripheral ulcerative keratitis, interstitial stromal keratitis, keratoendothelitis)

(6) anterior uveitis

 

Differential diagnosis:

(1) infectious causes of red eye


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