Acute bilateral vision loss by anterior ischemic optic neuropathy in a patient on hemodialysis
Abstract
Acute bilateral visual lost by anterior ischemic optic neuropathy in chronic in a haemodialysis patient The ischemic optic neuropathy represents a group of ischemical disorders of the optic nerve and is worldwide classified as: 1) Anterior (AION) with its forms Arteritic (AION-A) and Non-Arteritic (AION-NA) which is characterized by the triad of afferent pupillary defect, alterations of the visual field and oedema of the optical disk; and 2) Posterior (PION) without papilloedema.The clinical ophthalmology is essential for the diagnosis and the treatment, is based primarily on preventive measures (anaemia control, mineral metabolism, blood pressure, surgical bleeding, anaesthesia, compression of the eyeball etc.). It evolves towards vision loss either partial or complete and the response to steroids is still uncertain. We report a clinical case of an acute bilateral visual lost due to an anterior ischemic optic neuropathy (AION) in chronic haernodialysis patient with background of moderate arterial hypotension post parathyroidectomy.
References
Connolly SE, Gordon KB, Horton JC. Salvage of vision after hypotension-induced ischemic optic neuropathy. Am J Ophthalmol. 1994;117(2):235-42.
Katz DM, Trobe JD, Cornblath WT, Kline LB. Ischemic optic neuropathy after lumbar spine surgery. Arch Ophthalmol. 1994;112(7):925-31.
Dobrowolsky W. Amaurosis Uraemia in Folge von Sehnervenoedem. Klin Monatsbl Augenheilkd. 1881;19:121-3.
Winkelmayer WC, Eigner M, Berger O, Grisold W, Leithner C. Optic neuropathy in uremia: an interdisciplinary emergency. Am J Kidney Dis. 2001;37(3):E23.
Knox DL, Hanneken AM, Hollows FC, Miller NR, Schick HL Jr, Gonzales WL. Uremic optic neuropathy. Arch Ophthalmol. 1988;106(1):50-4.
Saini JS, Jain IS, Dhar S, Mohan K. Uremic optic neuropathy. J Clin Neuroophthalmol. 1989;9(2):131-3; discussion 134-5.
Korzets Z, Zeltzer E, Rathaus M, Manor R, Bernheim J. Uremic optic neuropathy. A uremic manifestation mandating dialysis. Am J Nephrol. 1998;18(3):240-2.
Hayreh SS. Posterior ischemic optic neuropathy. Ophthalmologica. 1981;182(1):29-41.
Manley P, Somerfield J, Simpson I, Barber A, Zwi J. Bilateral uraemic optic neuritis complicating acute nephrocalcinosis. Nephrol Dial Transplant. 2006;21(10):2957-8.
Servilla KS, Groggel GC. Anterior ischemic optic neuropathy as a complication of hemodialysis. Am J Kidney Dis. 1986;8(1):61-3.
Haider S, Astbury NJ, Hamilton DV. Optic neuropathy in uraemic patients on dialysis. Eye (Lond). 1993;7 (Pt 1):148-51.
Connolly SE, Gordon KB, Horton JC. Salvage of vision after hypotension-induced ischemic optic neuropathy. Am J Ophthalmol. 1994;117(2):235-42.
Koos MJ, Munteanu G. [Anterior ischemic optic neuropathy after systemic hypotension and anemia]. Oftalmologia. 1998;44(3):79-83.
Sabeel A, Al-Hazzaa SA, Alfurayh O, Mikkonen P. The dialysed patient who turned blind during a haemodialysis session. Nephrol Dial Transplant. 1998;13(11):2957-8.
Basile C, Addabbo G, Montanaro A. Anterior ischemic optic neuropathy and dialysis: role of hypotension and anemia. J Nephrol. 2001;14(5):420-3.
Buono LM, Foroozan R, Savino PJ, Danesh-Meyer HV, Stanescu D. Posterior ischemic optic neuropathy after hemodialysis. Ophthalmology. 2003;110(6):1216-8.
Cuxart M, Matas M, Picazo M, Sans R, Juvanet J, Osuna T. Pérdida visual bilateral aguda en pacientes en hemodiálisis. Nefrología (Madr.). 2005;25(6):703-5.
Gedik S, Yilmaz G, Akova YA. Sildenafil-associated consecutive nonarteritic anterior ischaemic optic neuropathy, cilioretinal artery occlusion, and central retinal vein occlusion in a haemodialysis patient. Eye (Lond). 2007;21(1):129-30.
Lapeyraque AL, Haddad E, André JL, Brémond-Gignac D, Taylor CM, Rianthavorn P, et al. Sudden blindness caused by anterior ischemic optic neuropathy in 5 children on continuous peritoneal dialysis. Am J Kidney Dis. 2003;42(5):E3-9.
Kim JS, Deputy S, Vives MT, Aviles DH. Sudden blindness in a child with end-stage renal disease. Pediatr Nephrol. 2004;19(6):691-3.
Korzets A, Marashek I, Schwartz A, Rosenblatt I, Herman M, Ori Y. Ischemic optic neuropathy in dialyzed patients: a previously unrecognized manifestation of calcific uremic arteriolopathy. Am J Kidney Dis. 2004;44(6):e93-7.
