What is your approach to the diagnosis and management of optic chiasmitis in systemic lupus erythematosus?
And have you ever seen it occur in isolation without any other manifestations of SLE?
Answer from: at Community Practice
Optic nerve involvement occurs in SLE but not commonly. I am aware of two case reports about 20 years apart describing inflammation of the optic chiasm in lupus. Both appeared the Neuroophthalmology and the most recent was 16:117, 2020. I would be cautious about making the diagnosis of lupus if sero...
Thank you very much.