AUTHOR=Jin Di , Liu Xun , Wang Yuwei , Fang Longjiang , Nie Weiduo , Li Chen , Li Sheng-Guang , Li Ming TITLE=Case Report: Concurrent retinal vasculitis and optic neuritis in systemic lupus erythematosus JOURNAL=Frontiers in Immunology VOLUME=Volume 16 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2025.1646850 DOI=10.3389/fimmu.2025.1646850 ISSN=1664-3224 ABSTRACT=Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease that can affect the ocular system, with retinal vasculitis and optic neuritis being rare but serious manifestations. We present a case of a 26-year-old female with newly diagnosed SLE who developed both retinal vasculitis and optic neuritis, leading to progressive visual impairment. She was successfully treated with methylprednisolone and rituximab, achieving significant visual recovery. A review of existing literature highlights the diagnostic challenges, pathophysiology, and optimal treatment strategies for such cases. Our findings emphasize the importance of early recognition and aggressive immunosuppressive therapy in improving patient outcomes.