Bilateral symmetric retinal detachment and multiple retinal pigment epithelial detachments during haemodialysis

Troiano, P.; Buccianti, G.

doi:10.1093/ndt/13.8.2135

Cited by 25 publications

(20 citation statements)

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“…The occurrence of SRD secondary to renal conditions has been widely described among patients with hypertensive retinopathy and those under hemodialysis or corticosteroid therapy (18)(19)(20)(21). However, cases of SRD related to hypoalbuminemia, like protein-losing enteropathy or NS, have been sparsely reported, with even fewer such cases with SRD as the initial finding (Table) (4)(5)(6)22).…”

Section: Discussionmentioning

confidence: 99%

Bilateral Serous Retinal Detachment as a Presenting Sign of Nephrotic Syndrome

et al. 2014

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We herein present a case of bilateral serous retinal detachment (SRD) as a presenting sign of nephrotic syndrome (NS). A 48-year-old man complained of decreased vision related to bilateral SRD. Laboratory tests revealed NS (serum albumin, 17 g/L: proteinuria, 15.40 g over 24 hours). Following treatment for edema with a diuretic, the bilateral SRD resolved completely, with a full recovery of the patient's vision. A kidney biopsy disclosed glomerular and vascular amyloid deposits; the amyloid stained strongly with anti-λ antiserum. Therefore, a diagnosis of AL amyloidosis was made. The sudden appearance of SRD should raise suspicion of a diagnosis of NS. Prompt recognition of this symptom is important for early treatment and restoration of the visual function.

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Section: Discussionmentioning

confidence: 99%

Bilateral Serous Retinal Detachment as a Presenting Sign of Nephrotic Syndrome

et al. 2014

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“…Choroidopathy is characterized by focal alteration of choriocapillary permeability, which allows large molecules like fibrinogen to exit into the subretinal space [96]. In severe forms, it can be bullous and bilateral, with multiple retinal pigment epithelium detachments and yellow fibrinlike subretinal exudates [97].…”

Section: Serous Retinal Detachmentmentioning

confidence: 99%

“…In severe forms, it can be bullous and bilateral, with multiple retinal pigment epithelium detachments and yellow fibrinlike subretinal exudates [97]. Gass suggests that renal failure is more important than hypertension and hemodialysis [97], but Troiano and Buccianti are of the opinion that hemodialysis contributes to the altered permeability by fluid shifts and variations of osmolarity in the different compartments before and after hemodialysis [96]. Gass reported on two patients receiving hemodialysis for chronic renal failure who developed bilateral bullous retinal detachment associated with multiple underlying serous detachments of the pigment epithelium [97].…”

Section: Serous Retinal Detachmentmentioning

confidence: 99%

Ocular manifestations of chronic kidney disease among adult patients receiving hemodialysis

Okolo

Omoti²

2012

Expert Review of Ophthalmology

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“…However, the underlying mechanism of serous retinal detachment is not well understood and controversial. Although Gass has suggested that the uraemic state is more important than haemodialysis in the development of serous retinal detachment [22], Troiano et al hypothesized that haemodialysis is the more important cause of the phenomenon [23]. In addition, previous studies that discussed the association between ESRD treated with dialysis and serous retinal detachment were limited by the small number of patients or the absence of comparative control data [12,13,22–24].…”

Section: Introductionmentioning

confidence: 99%

Risk of serous retinal detachment in patients with end-stage renal disease on dialysis

et al. 2017

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The aim of this retrospective, nationwide, matched cohort study was to investigate the association of serous retinal detachment with having end-stage renal disease (ESRD) while on dialysis. The cohort study included 94,024 patients with ESRD on dialysis registered between January 2000 to December 2009 in the Taiwan National Health Insurance Research Database. An age- and sex-matched control group comprised 94,024 patients selected from the Taiwan Longitudinal Health Insurance Database 2000. Information for each patient was collected from the index date until December 2011. Twenty-seven ESRD patients and 11 controls developed serous retinal detachment (P < 0.001) during follow-up, demonstrating a significantly increased risk of serous retinal detachment in patients with ESRD on dialysis compared with controls (incidence rate ratio = 3.39, 95% confidence interval [CI] = 1.68–6.83). After adjustment for potential confounders, patients were 3.86 times more likely to develop serous retinal detachment than the full cohort (adjusted HR = 3.86, 95% CI = 1.15–12.96). In conclusion, patients with ESRD on dialysis demonstrate an increased risk of serous retinal detachment. Interdisciplinary collaboration between nephrologists and ophthalmologists is important to deal with serous retinal detachment in patients with ESRD on dialysis and prevent impairments of visual acuity.

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Bilateral symmetric retinal detachment and multiple retinal pigment epithelial detachments during haemodialysis

Cited by 25 publications

References 0 publications

Bilateral Serous Retinal Detachment as a Presenting Sign of Nephrotic Syndrome

Bilateral Serous Retinal Detachment as a Presenting Sign of Nephrotic Syndrome

Ocular manifestations of chronic kidney disease among adult patients receiving hemodialysis

Risk of serous retinal detachment in patients with end-stage renal disease on dialysis

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