Bilateral exudative retinal detachment in a patient with end-stage renal disease — a case report

Abstract

End-stage renal disease (ESRD) is one of the most severe chronic kidney diseases occurring with a frequency of 0.1% in the general population. Patients with ESRD are more at risk of ocular complications, therefore cooperation between a nephrologist and an ophthalmologist is recommended. The most common complaints associated with the eye include the conjunctival chemosis, keratopathy, macular edema, optic neuropathy, elevated intraocular pressure and exudative retinal detachment. In this article, a case report of bilateral exudative retinal detachment in patients with the end-stage renal disease is presented.

Bilateral Exudative Retinal Detachment in a Young Patient with Chronic Renal Failure

“…8,9 ERD is uncommon and is rare in pediatric patients. ERD in the setting of CRF has been reported by Borowitz et al; 10 in a 31-year-old female by Guven et al; 11 and in a 20-year-old male by Chang et al 12 and Dahal et al 6 It results from fluid accumulation in the potential subretinal space due to the breaking down of the blood-retinal barrier. This may result from inflammatory, infectious, neoplastic, vascular, and degenerative lesions.…”

“…This is in keeping with studies that have shown improvement in ocular parameters with control of BP and hemodialysis. 10,11,17 This improvement is however minimal. Though other surgical interventions such as laser, trabeculectomy, trabeculectomy and use of drainage devices may lead to a further reduction in IOP, these were not explored due to financial constraints.…”

“…Left divergent squint and bilateral pupillary dilatation were noted. Squints and pupillary dilatation occur in the eye in systemic hypertension 6 , 7 , 10 , 14 as a result of affectation of the oculomotor nerve usually at the cavernous sinus.…”

“…This is in keeping with studies that have shown improvement in ocular parameters with control of BP and hemodialysis. 10 , 11 , 17…”