1病例报告患者,女,28岁,系统性红斑狼疮病史8年。今年4月因右眼前黑影来我院就诊。当时视力:右5.1,左5.2;双外眼安静,眼前节正常,玻璃体轻度混浊。眼底检查:双眼视盘界清,色如常,视网膜静脉充盈、迂曲、粗细不均,右眼颞上方梭状出血及棉绒斑(见图一);左眼未见明显出血及渗出。因全身情况较差(高血压、糖尿病、狼疮性肾炎、抗磷脂综合征等) 1 case reported patients, female, 28 years old, with a history of systemic lupus erythematosus for 8 years. This year in April because of the right eye shadow to our hospital. Visual acuity: right 5.1, left 5.2; double outer eyes quiet, normal anterior segment, mild vitreous opacity. Fundus examination: Binocular optic disc clear, color as usual, retinal vein filling, tortuous, uneven thickness, temporal fusiform lobe and cotton fleece (see Figure 1); no obvious bleeding and exudation in the left eye. Due to poor general condition (hypertension, diabetes, lupus nephritis, anti-phospholipid syndrome, etc.)