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Jan 14 2024 by Hemanth Murthy, MBBS, MD, FASRS

22 year female presented with loss of vision in right eye since 2 days. Vision was CF. Fundus showed cotton wool patches in posterior pole with large blotchy haemorrhage with fuzzy appearance of arteries and sheathing of veins and dull fovea. OCT showed inner layer hyper reflectivity with SSRD and cystoid edema. APLA was positive and ANA profile positive for SLE

Photographer: Mr Veda Vyas

Imaging device: Optos Daytona

Condition/keywords: APLA Syndrome, systemic lupus erythematosus (SLE) retinopathy