Bilateral Anterior Ischaemic Optic Neuropathy in a Child on Continuous Peritoneal Dialysis: Case report and literature review
| Autor: | Mohammed A. El-Naggari, Anuradha Ganesh, Abdullah Al-Kaabi, Ibtisam Elnour, Agha S. Haider, Mohammed O. Shafeeq |
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| Rok vydání: | 2016 |
| Předmět: |
hypotension
medicine.medical_specialty Visual acuity pediatrics genetic structures medicine.medical_treatment education lcsh:Medicine continuous ambulatory peritoneal dialysis Case Report Peritoneal dialysis 03 medical and health sciences 0302 clinical medicine medicine anterior ischemic optic neuropathy business.industry lcsh:R Continuous ambulatory peritoneal dialysis oman General Medicine medicine.disease eye diseases Surgery 030221 ophthalmology & optometry Anterior ischemic optic neuropathy Pediatric ophthalmology Presentation (obstetrics) medicine.symptom Complication business 030217 neurology & neurosurgery blindness Bilateral Nephrectomy |
| Zdroj: | Sultan Qaboos University Medical Journal, Vol 16, Iss 4, Pp 504-507 (2016) |
| ISSN: | 2075-0528 2075-051X |
| DOI: | 10.18295/squmj.2016.16.04.018 |
| Popis: | Non-arteritic anterior ischaemic optic neuropathy (NAION) is a serious complication of continuous peritoneal dialysis (CPD) which can lead to poor vision and blindness. We report a five-year-old girl who had undergone a bilateral nephrectomy at the age of one year and was on home CPD. She was referred to the Paediatric Ophthalmology Unit of Sultan Qaboos University Hospital, Muscat, Oman, in 2013 with acute bilateral vision loss, preceded by a three-day history of poor oral intake. At presentation, the patient had severe systemic hypotension. An ophthalmological examination revealed severe bilateral visual impairment and NAION. She was treated with intravenous methylprednisolone and normal saline boluses. At a five-month follow-up, the visual acuity of the right eye had improved but vision in the left eye remained the same. Acute bilateral blindness due to NAION while on CPD is a rare condition in childhood. Paediatricians should be aware of this complication in order to ensure prompt management. Keywords |
| Databáze: | OpenAIRE |
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