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Visual loss in uremic patients on dialysis : a case report and review of literature
Joint Authors
Shahin, Faysal A. M.
Basri, Nawal
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 13, Issue 1 (28 Feb. 2002), pp.45-49, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2002-02-28
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Topics
Abstract EN
We report a 40-year-old female patient who was on maintenance hemodialysis for end-stage renal disease.
She was initially noted to have severe hypertension necessitating use of four anti-hypertensive drugs.
Gradually, and with regular dialysis, her blood pressure normalized without any medications, and subsequently she was noted to have pre- and post-dialysis blood pressure respectively of 90 / 60 mm Hg and 70 / 40 mm Hg which was asymptomatic.
Following one session of dialysis during which she had severe hypotension associated with dizziness and headache, corrected by saline infusion, she noticed loss of vision affecting both eyes.
Detailed evaluation including fundoscopy, magnetic resonance imaging, fluorescein angiography, color Doppler and electroretinogram was performed.
Empirical treatment with pulse methyl prednisolone and plasma exchange did not help.
A diagnosis of anterior ischemia optic neuropathy due to hypotension was arrived at.
Our case suggests that intra-dialectic hypotension can be problematic and should be treated aggressively.
American Psychological Association (APA)
Basri, Nawal& Shahin, Faysal A. M.. 2002. Visual loss in uremic patients on dialysis : a case report and review of literature. Saudi Journal of Kidney Diseases and Transplantation،Vol. 13, no. 1, pp.45-49.
https://search.emarefa.net/detail/BIM-60939
Modern Language Association (MLA)
Basri, Nawal& Shahin, Faysal A. M.. Visual loss in uremic patients on dialysis : a case report and review of literature. Saudi Journal of Kidney Diseases and Transplantation Vol. 13, no. 1 (Dec. 2002), pp.45-49.
https://search.emarefa.net/detail/BIM-60939
American Medical Association (AMA)
Basri, Nawal& Shahin, Faysal A. M.. Visual loss in uremic patients on dialysis : a case report and review of literature. Saudi Journal of Kidney Diseases and Transplantation. 2002. Vol. 13, no. 1, pp.45-49.
https://search.emarefa.net/detail/BIM-60939
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 48-49
Record ID
BIM-60939