Bilateral Posterior Ischemic Optic Neuropathy associated with Hemodialysis in a patient with Chronic Renal Failure.
- Author:
Seong Ho JEON
1
;
Dong Jin SHIN
;
Dong Chul HAN
;
Hyeon Mi PARK
;
Yeong Bae LEE
;
Won Chul SHIN
Author Information
1. Department of Neurology, Ghil Medical Center, Gachon Medical school, Incheon, Korea. djshin@gilhospital.com
- Publication Type:Case Report
- Keywords:
Optic neuropathy;
Hemodialysis;
Hypotension
- MeSH:
Aged;
Anemia;
Brain;
Female;
Humans;
Hypotension;
Kidney Failure, Chronic*;
Magnetic Resonance Imaging;
Mesons;
Optic Nerve Diseases;
Optic Neuropathy, Ischemic*;
Pupil;
Renal Dialysis*
- From:Journal of the Korean Neurological Association
2005;23(5):703-705
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bilateral posterior ischemic optic neuropathy (PION) has rarely been documented in chronic renal failure (CRF). A 78-year-old woman with CRF, who had undergone hemodialysis for 14 years, was admitted due to rapidly progressive visual loss. Her pupils were unreactive to light, but ocular motility and fundoscopic examinations were normal. A brain MRI with angiogram revealed no abnormality and a VEP showed no wave formation bilaterally. Intravenous corticosteroid therapy was conducted without improvement. We report a case of bilateral PION associated with CRF, presumably due to chronic hypotension and anemia occurring during hemodialysis.
