一過性の浅前房と近視化，高度の眼瞼・結膜浮腫を呈した全身性エリテマトーデスの1例

Transient myopia, shallow anterior chamber, severe periorbital and conjunctival edema in a case of systemic lupus erythematosus

　一過性の浅前房と近視化，高度の眼瞼・結膜の浮腫を呈した全身性エリテマトーデス（以下SLE）の1例を報告した。症状はステロイド剤によく反応し，原疾患の活動性をあらわす内科的検査所見と平行して変化した。超音波Aモード法により水晶体の前方移動が証明された。症状はSLEの直接の合併症と診断され，機序として，局所の血管炎による毛様体，眼瞼，結膜の浮腫が考えられた。

A 45-year-old female developed conjunctival and periorbital edema, followed by shallow anterior chamber, increase in myopia and moderate rise in the intraocular pressure in both eyes.She had been suffering from systemic lupus erythematosus (SLE) during the foregoing 14 years and was under sys-temic corticosteroid.

Serological evaluation suggested an increased activity of SLE. Ocular symptoms subsided one week after reinforcement of systemic prednisolone therapy. There was a close parallelism between the ocular symptoms and serological data. A-mode ultrasonography demonstrated anterior displace-ment of the crystalline lens in both eyes.

The ocular manifestations were apparently sec-ondary to SLE. Exacerbation of SLE would initiate local vasculitis, resulting in edema of the ciliary body and periorbital tissue.