
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease. It affects many parts of the body, including the eyes. At Liv Hospital, we know that eye care and rheumatologic treatment are key for lupus patients. Lupus can lead to various eye issues, from mild irritation to serious vision problems.
It’s important to understand how lupus causes rashes under the eyes, inflammation, and other eye symptoms. This knowledge helps in early detection and preventing serious vision loss. For more information on lupus and its effects on the eyes, visit Lupus.org.
Key Takeaways
- Lupus can cause a range of eye problems, including dry eye, retinal damage, and vision loss.
- Understanding the ocular manifestations of lupus is key for early detection and prevention.
- Comprehensive eye care is essential for lupus patients, alongside rheumatologic treatment.
- Lupus medicines can cause eye problems, and regular eye exams are recommended.
- Steroid medicines can raise intraocular pressure, leading to glaucoma and cataracts.
Understanding Lupus and Its Ocular Manifestations

It’s important to know how lupus affects the eyes to manage the disease well. Lupus, or Systemic Lupus Erythematosus (SLE), is a chronic autoimmune disease. It can impact many parts of the body, including the eyes.
What is Systemic Lupus Erythematosus (SLE)?
Systemic Lupus Erythematosus (SLE) is a complex autoimmune disease. It can affect many organ systems. The disease has periods of flares and remission, with inflammation being a key feature. Lupus can cause a wide range of symptoms, from mild fatigue and joint pain to severe organ damage.
“Lupus is a disease that can affect anyone, but it is most common in women of childbearing age,” says the Lupus Foundation of America. The exact cause of lupus is not known. It is believed to involve genetic, environmental, and hormonal factors.
How Common Are Eye Problems in Lupus Patients?
Ocular manifestations affect between 33-50% of lupus patients. Eye problems can range from mild dryness to severe inflammation and vision-threatening conditions. Common eye problems include dry eyes, eyelid inflammation, and retinal vasculitis.
Studies show lupus patients often have severe flare-ups followed by remission periods. During flare-ups, inflammation and swelling occur, causing fatigue, pain, and tissue damage. The eyes are not spared, with lupus and eye pain being a significant concern for many patients.
It’s vital for lupus patients to have regular eye exams. This helps monitor for any eye problems. Early detection and treatment can prevent long-term damage and preserve vision.
Lupus Rash Under Eyes: Symptoms and Characteristics

Lupus can affect the skin around the eyes in many ways. Knowing these symptoms is key to managing the condition.
Discoid Lesions on the Eyelids
Discoid lupus erythematosus (DLE) is a chronic skin condition. It causes inflammation and scarring. Discoid lesions on the eyelids look like scaly, raised plaques, often on the lower eyelids. They can itch and be uncomfortable, causing a lot of distress.
For more information on lupus rash, visit page on Lupus Rash. This page offers detailed insights into lupus rash symptoms and characteristics.
Common Symptoms and Sensations
People with discoid lesions on their eyelids often feel:
- Itching and burning sensations
- Redness and inflammation
- Sensitivity to light
- Scarring and possible eyelid deformities
These symptoms can really affect your life. It’s important to see a doctor if they don’t go away or get worse.
Potential Scarring and Eyelid Deformities
If not treated, discoid lesions can cause scarring and eyelid deformities. This scarring can lead to problems like not being able to close your eyes fully or dry eyes.
Early diagnosis and treatment are key to avoiding long-term damage. Doctors might use topical corticosteroids, antimalarial drugs, or other treatments to reduce inflammation and prevent scarring.
Understanding lupus rash symptoms under the eyes helps manage the condition. It also reduces the chance of serious problems.
Other Eye Conditions Caused by Lupus
Lupus can lead to eye problems like dry eyes, inflammation, and swelling. These issues can really affect a person’s life. It’s important to know about their symptoms, how to diagnose them, and treatment options.
Dry Eyes (Keratoconjunctivitis Sicca)
Dry eyes, or keratoconjunctivitis sicca, is common in lupus patients. It happens when the tear glands don’t make enough tears. This can make the eyes dry and uncomfortable.
The symptoms of dry eyes include:
- Dryness and grittiness in the eyes
- Blurred vision
- Sensitivity to light
- Eye fatigue
To treat dry eyes, people use artificial tears. They also avoid dry places and might take medicine to reduce inflammation.
Lupus and Eye Inflammation
Eye inflammation is another problem lupus can cause. It can show up as scleritis or uveitis. These are inflamations of the eye’s white part and middle layer, respectively.
Symptoms of eye inflammation include:
- Redness and pain in the eye
- Sensitivity to light
- Blurred vision
- Increased tearing
It’s important to treat eye inflammation quickly with anti-inflammatory medicines. This helps avoid serious problems.
Swelling Around Eyes and Eyelid Problems
Lupus can also cause swelling and eyelid issues. This includes discoid lupus erythematosus lesions on the eyelids. These can lead to scarring and changes in the eyelids if not treated.
Symptoms and possible complications include:
- Eyelid swelling and redness
- Lesions on the eyelids
- Potential scarring and deformities
Getting a diagnosis and treatment early can help manage these problems.
Conclusion: Diagnosis and Management of Lupus Eye Symptoms
Lupus can really affect your eyes, causing swelling, signs of lupus, and pain. It’s important for patients to know about these symptoms. This way, they can get help early and manage their condition well.
Doctors say lupus patients should get their eyes checked every year. This helps catch any eye problems early. If you’re taking hydroxychloroquine, you need an eye exam before starting. Then, you should have eye checks every year to avoid vision issues.
Knowing the signs of lupus in your eyes is key. This includes twitching or dry eyes. By acting fast, patients can avoid serious problems and keep their vision safe. Regular check-ups and quick action are essential for eye health in lupus patients.
By staying informed and working with your healthcare team, lupus patients can manage their condition better. This helps protect their vision and overall health.
FAQ
What are the common eye problems associated with lupus?
Lupus can lead to several eye issues. These include dry eyes, eyelid inflammation, and swelling. It can also cause retinal vasculitis. These problems can make your eyes uncomfortable and affect your vision.
How does lupus cause dry eyes?
Lupus can make your eyes dry by reducing tear production. It can also change the makeup of your tears. This results in dryness, irritation, and blurry vision.
Can lupus cause eye inflammation?
Yes, lupus can cause inflammation in the eyes. This includes inflammation of the eyelids, conjunctiva, and retina. Symptoms include redness, swelling, and pain.
What are the symptoms of lupus rash under the eyes?
A lupus rash under the eyes can cause discoid lesions. These lesions can be red, scale, and scar. They may also itch and burn.
How is lupus-related eye inflammation diagnosed?
Diagnosing lupus-related eye inflammation involves a detailed eye exam and medical history. We also use lab tests to rule out other conditions. Imaging tests like OCT may be used to check inflammation levels.
Can lupus affect vision?
Yes, lupus can harm your vision. It can cause inflammation, retinal vasculitis, and other eye damage. Regular eye exams are key to catching problems early.
How is lupus-related dry eyes treated?
Treating lupus-related dry eyes includes using lubricating drops and plugs. We also suggest avoiding dry environments and taking breaks from digital devices.
Can lupus cause swelling around the eyes?
Yes, lupus can cause swelling around the eyes. This swelling can be due to inflammation or fluid retention. It might be a sign of lupus activity or a treatment side effect.
How can lupus eye symptoms be managed?
Managing lupus eye symptoms requires medical treatment, lifestyle changes, and regular eye exams. We create a personalized plan to reduce symptoms and protect your eye health.
References:
National Center for Biotechnology Information. Evidence-Based Medical Guidance. Retrieved from https://pubmed.ncbi.nlm.nih.gov/2614551