Abstract | BACKGROUND:
Ischemic optic neuropathy (ION) is exceedingly rare in children on dialysis, resulting from poor perfusion of the optic nerve, and presents as sudden acute painless vision loss. CASE-DIAGNOSIS/TREATMENT: CONCLUSIONS: The exact cause of our patient's simultaneous bilateral anterior and posterior ION, confirmed via MRI and fundoscopic examination, is unclear; however, is likely secondary to a combination of fluctuating blood pressure, anemia, anephric status, and hemodialysis. This highlights the need for close blood pressure monitoring, management of anemia, and more diligent ophthalmologic screening in pediatric patients on chronic hemodialysis.
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Authors | Katherine Mai, Rina Su, Abby Basalely, Laura J Castellanos, Pamela Singer, Howard D Pomeranz, Rashmi Verma, Christine B Sethna |
Journal | Pediatric nephrology (Berlin, Germany)
(Pediatr Nephrol)
Vol. 39
Issue 6
Pg. 1771-1774
(Jun 2024)
ISSN: 1432-198X [Electronic] Germany |
PMID | 38197957
(Publication Type: Case Reports, Journal Article)
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Copyright | © 2024. The Author(s), under exclusive licence to International Pediatric Nephrology Association. |
Topics |
- Male
- Humans
- Child
- Child, Preschool
- Optic Neuropathy, Ischemic
(complications, diagnosis)
- Renal Dialysis
(adverse effects)
- Glomerulosclerosis, Focal Segmental
(complications)
- Kidney Failure, Chronic
(therapy)
- Anemia
(etiology)
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