Bilateral nonarteritic ischemic optic neuropathy and retinal ischemia in a pediatric dialysis patient.

Autor: Zandi R; Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois., Huang R; Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois., Sternfeld A; Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Division of Ophthalmology, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois., Rahmani S; Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Division of Ophthalmology, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois., Kurup SP; Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Division of Ophthalmology, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois. Electronic address: SKurup@luriechildrens.org.
Jazyk: angličtina
Zdroj: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2024 Aug; Vol. 28 (4), pp. 103948. Date of Electronic Publication: 2024 May 31.
DOI: 10.1016/j.jaapos.2024.103948
Abstrakt: A nearly 3-year-old boy on nightly dialysis presented emergently with sudden loss of vision. On examination, his visual acuity was light perception in the right eye and no light perception in the left eye. There was bilateral optic disk edema, diffuse pallor of posterior poles, and a cherry red spot in the left fundus. The patient was subsequently found to be hemodynamically unstable and admitted to the pediatric intensive care unit with presumed septic shock. Optical coherence tomography revealed paracentral acute middle maculopathy lesions in the right eye and diffusely thick retina in the left eye. Magnetic resonance imaging and magnetic resonance angiography of the brain and vessels did not reveal any acute findings. The patient's presentation was most consistent with bilateral nonarteritic ischemic optic neuropathy and unilateral central retinal artery occlusion. On repeat evaluation 9 months later, vision was largely unchanged.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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