Anaemia induced vision loss

Leung, Kai Ching Peter; Li, Kenneth K

doi:10.1136/bmj.m3547

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2022

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“…However, it is usually asymptomatic, with findings varying from retinal hemorrhages, cotton wool spots, venous tortuosity, and occasionally white-centered hemorrhages called Roth spots [ 10 ]. The dysregulation of the coagulation cascade can lead to the occlusion of retinal vessels, with contributions from reactive thrombocytosis and hypoxia-induced endothelial injury [ 11 ]. In our index case, anemia was not severe, and the patient had a visual loss with markedly elevated blood pressure.…”

Section: Discussionmentioning

confidence: 99%

Sudden-Onset Blindness in a Child With Hypertensive Emergency: Unmasking of Chronic Kidney Disease

Chakraborty¹,

Bhattacharya²,

Kanwar³

2022

Cureus

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A 10-year-old male presented with sudden-onset diminution of vision in both eyes. On systemic examination, he had severe hypertension, no pulse deficit, short stature, and no other focal neurological deficit. Dilated fundoscopy showed bilateral grade 4 hypertensive retinopathy with macular star formation. Detailed laboratory investigations revealed a stage 5 chronic kidney disease (CKD). We present this case to highlight this rare ocular manifestation of CKD in pediatric age group.

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Section: Discussionmentioning

confidence: 99%