Recovery of vision after treatment of hemodialysis related bilateral optic nerve ischemia

American Journal of Ophthalmology Case Reports

E. Waxman¹  B. Abramovitz²  A. Abo-Zed²  M. Paez-Escamilla³  S.T. Stefko³ 

[1] University of Pittsburgh Medical Center, Department of Otolaryngology, United States;Renal-Electrolyte Division, Department of Medicine at the University of Pittsburgh, United States;University of Pittsburgh Medical Center, Department of Ophthalmology, United States;

关键词: Posterior ischemic optic neuropathy;    End-stage renal disease;    Diabetes mellitus;    Erythropoietin;    Visual loss;    Hemodialysis;   

DOI  :  

来源: DOAJ

【 摘 要 】

Purpose: We present the case of a patient who lost light perception in both eyes after hemodialysis and subsequently recovered vision after treatment with erythropoietin and intravenous steroids. Observations: Our patient reported loss of light perception in both eyes (NLP) 2 hours after hemodialysis. Examination confirmed NLP vision, chronic retinal vascular changes, and no acute changes in optic nerve appearance. A presumptive diagnosis of posterior optic neuropathy was made. The patient was treated with erythropoietin and intravenous steroids according to the protocol of Nikkah. Over a period of 14 hours, he recovered vision to his baseline. Conclusions and Importance: Bilateral loss of light perception is a rare complication of hemodialysis. The presumed mechanism is posterior ischemic optic neuropathy. Prompt treatment with erythropoietin and intravenous steroids should be considered in similar situations that result in Posterior ischemic optic neuropathy (PION) related to procedure-based hypotension.

【 授权许可】

Unknown