Lupus can affect various parts of the body, including the eyes. It can cause dry eyes, retinal vasculitis, scleritis, cranial nerve palsy, and optic neuritis. Dry eyes can be treated with artificial tears, humidifiers, or prescription drugs. Retinal vasculitis may require steroids or immunosuppressants. Scleritis treatment depends on severity and may include NSAIDs or corticosteroids. Cranial nerve palsy might improve on its own, but prism glasses or surgery could be needed. Optic neuritis is commonly treated with steroids. Cutaneous lupus can cause rashes around the eyelids, treatable with hydroxychloroquine and steroids. Regular eye exams are crucial, especially if taking medications like hydroxychloroquine, which can damage the retina over time. Immunosuppressive drugs can increase the risk of eye infections, treatable with antibiotics. Steroids may raise the risk for glaucoma and cataracts, both of which have treatments. Always consult your rheumatologist and ophthalmologist if you experience vision issues.