Bilateral nonarteritic ischemic optic neuropathy and retinal ischemia in a pediatric dialysis patient.
J AAPOS
; 28(4): 103948, 2024 Aug.
Article
em En
| MEDLINE
| ID: mdl-38825070
ABSTRACT
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Diálise Renal
/
Neuropatia Óptica Isquêmica
/
Tomografia de Coerência Óptica
Limite:
Child, preschool
/
Humans
/
Male
Idioma:
En
Revista:
J AAPOS
Assunto da revista:
OFTALMOLOGIA
/
PEDIATRIA
Ano de publicação:
2024
Tipo de documento:
Article