Sequential nonarteritic anterior ischemic optic neuropathy in patient on chronic hemodialysis.
Blindness after dialysis
Dialysis-induced hypotension
Nonarteritic anterior ischemic optic neuropathy
Journal
CEN case reports
ISSN: 2192-4449
Titre abrégé: CEN Case Rep
Pays: Japan
ID NLM: 101636244
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
26
09
2018
accepted:
14
11
2018
pubmed:
22
11
2018
medline:
19
3
2020
entrez:
22
11
2018
Statut:
ppublish
Résumé
Nonarteritic anterior ischemic optic neuropathy (NAION) is a well acknowledged rare complication of chronic hemodialysis in patients with end-stage renal disease (ESRD). We present a unique case of a patient on chronic hemodialysis who presented with an NAION in the right eye, then 3 months later developed an NAION in the left eye followed in 1 month by second NAION episode in the left eye. Every episode of NAION was accompanied by intradialytic hypotension (drop in systolic blood pressure of over 20 mmHg) where visual loss was noticed at the end of the dialysis session. Clinicians should be aware of association between NAION and hemodialysis and that patients with dialysis-induced hypotension are at particularly increased risk of having NAION. Patients who had dialysis-associated NAION should be closely monitored to prevent occurrence of intra-dialytic hypotension as they are at the highest risk of sequential NAION and thus severe visual loss.
Identifiants
pubmed: 30460468
doi: 10.1007/s13730-018-0372-8
pii: 10.1007/s13730-018-0372-8
pmc: PMC6450974
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
89-94Commentaires et corrections
Type : CommentIn
Type : CommentIn
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