The dialysed patient who turned blind during a haemodialysis session

Sabeel, A; Al-Hazzaa, Selwa A.F.; Alfurayh, Osman; Mikkonen, Pentti

doi:10.1093/ndt/13.11.2957

Cited by 19 publications

(18 citation statements)

References 1 publication

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“…2 The appearance of blindness during hemodialysis, as observed in our patient, is not compatible with this diagnosis.…”

Section: Discussioncontrasting

confidence: 71%

“…2 Hypotension is a known major cause of ischemic optic neuropathy. Twenty-five percent of hemodialysis sessions are complicated by hypotension, which is considered to be the most common systemic complication of this procedure.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Although it is a rare occurrence during hemodialysis, the consequences of bilateral blindness are devastating. Several syndromes culminating in loss of sight have been described, including anterior ischemic optic neuropathy, bilateral occipital infarcts, Purtscher's-like retinopathy, and uremic amaurosis.…”

Section: Introductionmentioning

confidence: 99%

“…Several syndromes culminating in loss of sight have been described, including anterior ischemic optic neuropathy, bilateral occipital infarcts, Purtscher's-like retinopathy, and uremic amaurosis. [1][2][3][4] We present a case of bilateral blindness during hemodialysis treated by hyperbaric oxygen, with the return of the patient's visual acuity to its predialysis level. …”

Section: Introductionmentioning

confidence: 99%

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Hyperbaric therapy for bilateral visual loss during hemodialysis

2006

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Bilateral vision loss during hemodialysis is a rare but devastating entity, with grim prognosis for sight. The etiologies are diverse but share ischemia as a common mechanism. This is a report of a patient with bilateral sight loss during hemodialysis, with early hyperbaric treatment and return of visual acuity to baseline. Hyperbaric treatment should be considered, where early administration is possible, for bilateral blindness during hemodialysis.

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“…2 The appearance of blindness during hemodialysis, as observed in our patient, is not compatible with this diagnosis.…”

Section: Discussioncontrasting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hyperbaric therapy for bilateral visual loss during hemodialysis

2006

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“…Serious visual complications related to hypotension-induced ischemic insults to vital structures like optic nerves and occipital cortex can occur during hemodialysis. Hypotension-induced ischemic optic neuropathy is well documented in the literature [3,7,8].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Occipital Infarcts in a Hemodialysis Patient

Al‐Falki

2001

Am J Nephrol

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Acute Blindness During Hemodialysis: Neuroimaging in Diagnosis

Hatipoğlu

Erhuner

Cılız

et al. 2010

Dialysis & Transplantation

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A cute blindness during hemodialysis is very rare. It is important to fi nd out the real etiology before beginning treatment. The etiology might include anterior or posterior ischemic optic neuropathy, acute cerebral infarction, or reversible posterior encephalopathy syndrome (RPES). We sought to emphasize the importance of diffusionweighted imaging (DWI), apparent diffusion coeffi cient (ADC) mapping, and magnetic resonance spectroscopy (MRS) for diagnosis. Close collaboration among nephrologists, neuro-ophthalmologists, and radiologists is important in this interdisciplinary emergency. Case ReportA 48-year-old woman with chronic renal failure developed acute blindness during hemodialysis. Cranial computerized tomography (CT) was reported as normal. For this reason, an emergent cranial magnetic resonance imaging (MRI), as well as a DWI, ADC mapping, and MRS were performed in less than 6 hours after the incident on a 1.5 T whole body MRI system (Excite, General Electric, Milwaukee, Wisc.) with a 33 mT/m maximum ABSTRACT: Acute blindness related to hemodialysis is very rare. It is important to fi nd out the real etiology before beginning treatment. In this case, we sought to emphasize the importance of diffusion-weighted imaging, apparent diffusion coeffi cient mapping, and magnetic resonance spectroscopy for diagnosis. Close collaboration among nephrologists, neuro-ophthalmologists, and radiologists is important in this interdisciplinary emergency.

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The dialysed patient who turned blind during a haemodialysis session

Cited by 19 publications

References 1 publication

Hyperbaric therapy for bilateral visual loss during hemodialysis

Hyperbaric therapy for bilateral visual loss during hemodialysis

Bilateral Occipital Infarcts in a Hemodialysis Patient

Acute Blindness During Hemodialysis: Neuroimaging in Diagnosis

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