This article reports a rare case of bilateral choroidal occlusion that occurred in a 24-year-old woman with antiphospholipid syndrome (APS) associated with systemic lupus erythematosus (SLE). This young lady concurred with aorta ventralis thrombosis and bilateral iliac artery occlusion when presented, and experienced a rapid deterioration of vision. She also has a history of recurrent miscarriage. Corticosteroid, immunosuppression and anticoagulation therapy were administered. Patients with APS associated with SLE are at risk for thrombotic phenomena, which may affect the ocular vessels of all sizes, including choroidal vessel. Our case alerts ophthalmologists and rheumatologists that bilateral choroidal occlusion may indeed be developed in patients with APS associated with SLE, and is a potential cause of visual morbidity.

Key words: anticardiolipin antibodies, antiphospholipid antibodies, choroidal vessels, systemic lupus erythematosus

Article information: This article reports a rare case of bilateral choroidal occlusion that occurred in a 24-year-old#br# woman with antiphospholipid syndrome (APS) associated with systemic lupus erythematosus (SLE), which alerts ophthalmologists and rheumatologists that bilateral choroidal occlusion may indeed occurred in this special condition and cause visual morbidity.#br#