Bilateral Anterior Ischemic Optic Neuropathy with Sudden Sensorineural Hearing Loss in a Long term Hemodialysis Patient.
- Author:
Jeong Kyung PARK
1
;
Min Keun SONG
;
Sun Hye KIM
;
Hye Young KIM
;
Su Jin HAN
;
Ea Wha KANG
Author Information
1. Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea. eawha@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Hemodialysis;
Anterior ischemic optic neuropathy;
Sensorineural hearing loss
- MeSH:
Anemia;
Atherosclerosis;
Dialysis;
Hearing;
Hearing Loss;
Hearing Loss, Sensorineural;
Humans;
Hypotension;
Kidney Failure, Chronic;
Male;
Middle Aged;
Optic Neuropathy, Ischemic;
Renal Dialysis;
Vision, Ocular
- From:Korean Journal of Nephrology
2008;27(3):397-401
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anterior ischemic optic neuropathy (AION) is rarely reported in end stage renal disease. In particular, AION combined with sudden sensorineural hearing loss (SNHL) has not been reported in domestic and international journals. Here we report the first case of this combined condition. A 58-year-old male patient in end-stage renal disease presented on painless bilateral visual and hearing deterioration. Clinical findings and imaging studies were compatible with a diagnosis of AION and SNHL. Despite of high-dose steroid therapy, vision and hearing were not significantly recovered. Uremic patients often have coexisting pathology such as hypotension during dialysis, atherosclerosis and anemia, predisposing to AION and SNHL. We describe a patient of dialysis for 10 years who presented with bilateral visual and hearing loss due to complications of long-term dialysis. Our case suggests that nephrologists have to know and treat more carefully this rare but emergent complications of dialysis.
