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Bilateral Exudative Retinal Detachment in a Young Patient with Chronic Renal Failure
INTRODUCTION: Chronic renal failure (CRF) is a multi-systemic disease affecting different organ systems of the body. Ocular manifestations of chronic renal disease include squint, subconjunctival hemorrhage, vitreous hemorrhage, neovascular glaucoma, cataracts and retinal detachment. These result in...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947333/ https://www.ncbi.nlm.nih.gov/pubmed/33716512 http://dx.doi.org/10.2147/IMCRJ.S283565 |
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author | Otuka, Olufunmi Adebimpe Ijeoma Eweputanna, Lisa Ifenyinwa Okoronkwo, Nneka Chioma Kalu, Anya |
author_facet | Otuka, Olufunmi Adebimpe Ijeoma Eweputanna, Lisa Ifenyinwa Okoronkwo, Nneka Chioma Kalu, Anya |
author_sort | Otuka, Olufunmi Adebimpe Ijeoma |
collection | PubMed |
description | INTRODUCTION: Chronic renal failure (CRF) is a multi-systemic disease affecting different organ systems of the body. Ocular manifestations of chronic renal disease include squint, subconjunctival hemorrhage, vitreous hemorrhage, neovascular glaucoma, cataracts and retinal detachment. These result in visual impairment or blindness. In this article, a case of bilateral exudative retinal detachment (ERD) in a pediatric patient with CRF and hypertension is presented. METHODS: The patient is a 16-year-old girl with CRF, grade 3 hypertension, and bilateral ERD. Detailed ophthalmic evaluation including visual acuity, anterior and posterior segments evaluation with +78 DS super field lens and digital slit lamp, intraocular pressure (IOP) measurement using a non-contact tonometer. B-mode ocular and renal ultrasounds scan were done. RESULTS: With the management of systemic hypertension, and hemodialysis, a slight improvement of vision was noted but this was not sustained as renal replacement therapy was not continued due to financial constraints. CONCLUSION: Ocular disturbances may be the pointer to renal compromise. There is a need for thorough systemic review in patients with ocular symptoms and ocular evaluation in all patients with CRF and hypertension. |
format | Online Article Text |
id | pubmed-7947333 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-79473332021-03-11 Bilateral Exudative Retinal Detachment in a Young Patient with Chronic Renal Failure Otuka, Olufunmi Adebimpe Ijeoma Eweputanna, Lisa Ifenyinwa Okoronkwo, Nneka Chioma Kalu, Anya Int Med Case Rep J Case Report INTRODUCTION: Chronic renal failure (CRF) is a multi-systemic disease affecting different organ systems of the body. Ocular manifestations of chronic renal disease include squint, subconjunctival hemorrhage, vitreous hemorrhage, neovascular glaucoma, cataracts and retinal detachment. These result in visual impairment or blindness. In this article, a case of bilateral exudative retinal detachment (ERD) in a pediatric patient with CRF and hypertension is presented. METHODS: The patient is a 16-year-old girl with CRF, grade 3 hypertension, and bilateral ERD. Detailed ophthalmic evaluation including visual acuity, anterior and posterior segments evaluation with +78 DS super field lens and digital slit lamp, intraocular pressure (IOP) measurement using a non-contact tonometer. B-mode ocular and renal ultrasounds scan were done. RESULTS: With the management of systemic hypertension, and hemodialysis, a slight improvement of vision was noted but this was not sustained as renal replacement therapy was not continued due to financial constraints. CONCLUSION: Ocular disturbances may be the pointer to renal compromise. There is a need for thorough systemic review in patients with ocular symptoms and ocular evaluation in all patients with CRF and hypertension. Dove 2021-03-03 /pmc/articles/PMC7947333/ /pubmed/33716512 http://dx.doi.org/10.2147/IMCRJ.S283565 Text en © 2021 Otuka et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Case Report Otuka, Olufunmi Adebimpe Ijeoma Eweputanna, Lisa Ifenyinwa Okoronkwo, Nneka Chioma Kalu, Anya Bilateral Exudative Retinal Detachment in a Young Patient with Chronic Renal Failure |
title | Bilateral Exudative Retinal Detachment in a Young Patient with Chronic Renal Failure |
title_full | Bilateral Exudative Retinal Detachment in a Young Patient with Chronic Renal Failure |
title_fullStr | Bilateral Exudative Retinal Detachment in a Young Patient with Chronic Renal Failure |
title_full_unstemmed | Bilateral Exudative Retinal Detachment in a Young Patient with Chronic Renal Failure |
title_short | Bilateral Exudative Retinal Detachment in a Young Patient with Chronic Renal Failure |
title_sort | bilateral exudative retinal detachment in a young patient with chronic renal failure |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947333/ https://www.ncbi.nlm.nih.gov/pubmed/33716512 http://dx.doi.org/10.2147/IMCRJ.S283565 |
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