Abstract
Purpose: To Describe a case of Sea-fan Neovascularization in a SLE patient. Method: Case report A 35 year old female who underwent a right hemicolectomy for gangrene gut of undetermined cause was referred to the Ophthalmology department for fundus examination. A Complete ocular examination along with Fluorescein Angiography was done. Fundus examination revealed neovascularization in the temporal quadrant of her right eye. Fluorescein angiography revealed a sea-fan neovascularization corresponding to the neovascular tuft. Hb electrophoresis revealed no abnormal hemoglobin. ANA and anti-dsDNA tests were positive. She was referred to the immunology department where she was diagnosed as a case of SLE according to the SLE diagnostic criteria of the American Rheumatology Association. Conclusion: Sea-fan neovascularization can be seen in SLE. To the best of our knowledge this is the first time sea-fan neovascularization is described in a case of SLE. It also demonstrates the diagnostic difficulty of SLE when it presents without the usual manifestations and the importance of a thorough Ophthalmological
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