Bilateral Occipital Infarcts in a Hemodialysis Patient

Al‐Falki, Yahya H.

doi:10.1159/000046286

Cited by 8 publications

(10 citation statements)

References 7 publications

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“…3 Our patient was diabetic, with known ischemic heart disease, a history of cerebrovascular accident, having CT evidence of an old occipital infarct. Fundus examination revealed combined diabetic and hypertensive retinopathy, with no further findings supporting an alternative diagnosis.…”

Section: Discussionmentioning

confidence: 87%

“…[1][2][3] Although it is a rare occurrence during hemodialysis, the consequences of bilateral blindness are devastating. Several syndromes culminating in loss of sight have been described, including anterior ischemic optic neuropathy, bilateral occipital infarcts, Purtscher's-like retinopathy, and uremic amaurosis.…”

Section: Introductionmentioning

confidence: 99%

“…Several syndromes culminating in loss of sight have been described, including anterior ischemic optic neuropathy, bilateral occipital infarcts, Purtscher's-like retinopathy, and uremic amaurosis. [1][2][3][4] We present a case of bilateral blindness during hemodialysis treated by hyperbaric oxygen, with the return of the patient's visual acuity to its predialysis level. …”

Section: Introductionmentioning

confidence: 99%

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Hyperbaric therapy for bilateral visual loss during hemodialysis

2006

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Bilateral vision loss during hemodialysis is a rare but devastating entity, with grim prognosis for sight. The etiologies are diverse but share ischemia as a common mechanism. This is a report of a patient with bilateral sight loss during hemodialysis, with early hyperbaric treatment and return of visual acuity to baseline. Hyperbaric treatment should be considered, where early administration is possible, for bilateral blindness during hemodialysis.

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hyperbaric therapy for bilateral visual loss during hemodialysis

2006

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“…Al-Falki reported a case of cortical blindness caused by bilateral occipital infarcts in a patient after hemodialysis [100]. Intradialytic hypotension might lead to occipital infarction and transient visual loss may anticipate this condition [100].…”

Section: Cortical Blindnessmentioning

confidence: 99%

Ocular manifestations of chronic kidney disease among adult patients receiving hemodialysis

Okolo

Omoti²

2012

Expert Review of Ophthalmology

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“…Patients are exposed to potential complications, such as hypotension, muscle cramps, arrhythmias, bleeding disorders, hypoxia, and anaphylactic reactions. 3 Ocular complications include reduced corneal endothelium cell density, 4 ischaemic optic neuropathy, 5 occipital lobe blindness, 6 and endogenous endophthalmitis. 7 Changes in intraocular pressure (IOP) during or after haemodialysis have also been widely reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

Effect of haemodialysis on intraocular pressure

Samsudin

Mimiwati

Soong

et al. 2009

Eye

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Aims To study the effect of haemodialysis on intraocular pressure (IOP) of patients at the University Malaya Medical Centre, Kuala Lumpur, and the influence of anterior chamber angles, surgery, and diabetes on the change in IOP after haemodialysis. Methods Prospective, single centre study on patients undergoing haemodialysis with a sample size of 98 eyes (49 patients). Ocular examination was performed before haemodialysis. Pre-and post-haemodialysis IOP measurements were taken. Plasma osmolarity changes and volume of fluid removed were noted. Patients on antiglaucoma treatment or who have had earlier laser or surgical procedures for it were excluded. Student's t-test and Pearson's coefficient test were used to determine the statistical significance. Results Plasma osmolarity decreased significantly (À11.6 ± 10.0mOsm/l, Po0.001). In eyes with occludable angles (8% of cases), IOP decreased significantly (À3.63 ± 1.92 mmHg, Po0.001). In non-occludable angle eyes (92% of cases), no significant changes (P40.05) in all subgroups of non-operated/operated and diabetic/ non-diabetic eyes were seen. Conclusions Haemodialysis does not cause significant changes in IOP in non-glaucomatous and non-occludable angle eyes.

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Bilateral Occipital Infarcts in a Hemodialysis Patient

Abstract: Cortical blindness as a complication of hemodialysis is not widely known, though visual disturbances related to uremia have been known for a long time. We recently observed cortical blindness caused by bilateral occipital infarcts in a patient after hemodialysis.

Cited by 8 publications

References 7 publications

Hyperbaric therapy for bilateral visual loss during hemodialysis

Hyperbaric therapy for bilateral visual loss during hemodialysis

Ocular manifestations of chronic kidney disease among adult patients receiving hemodialysis

Effect of haemodialysis on intraocular pressure

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