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We have read with great interest the letter by Conigliaro et al 1 regarding the usefulness of an optical coherence tomography angiography (OCTA) for evaluating retinal microvasculature in patients with systemic lupus erythematosus (SLE). The authors suggested that OCTA is a sensitive tool to detect preclinical ocular changes, and retinal vascular abnormalities are related to renal involvement in patients with SLE. In addition to this, we wish to emphasise that patients with abnormal eye findings should be closely followed, even if it is asymptomatic and in an early phase, keeping in mind the possibility of neuropsychiatric SLE.
Previous study showed that patients with SLE with eye involvement often have neuropsychiatric dysfunction as well,2 and we here report a case of asymptomatic retinal …
Handling editor Josef S Smolen
Contributors YM and MN contributed equally to this work. YM examined the patient as the attending physician. TW and KN performed ophthalmological examinations including OCTA. YM, MN and AK wrote the manuscript. All authors contributed to discussion and approved the final version.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.