Neglected Systemic Lupus Erythematosus Treatment Resulting in Long-term Visual Disturbance

Abstract Objective: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that requires long-term treatment regimens to manage its symptoms and prevent complications. Compliance with medication regimens is a critical aspect of SLE treatment, and nonadherence can lead to poor treatment outcomes and increased risk of irreversible organ damage. We report a case of neglected SLE treatment resulting in long-term visual disturbance. Case: A 13-year-old girl came to Ngoerah Hospital with complaints of blurred vision, assessed right eye exudative retinal detachment due to SLE retinopathy, left eye myopia, and right left eye secondary open-angle glaucoma. The patient has been diagnosed SLE for a year and has been given oral methylprednisolone and azathioprine (AZA) therapy, but the patient only took AZA for 1 month and did not control. Conclusion: It requires compliance in the treatment of SLE. Neglected SLE treatment resulting in visual disturbance.