Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 5 Issue 11

Peritoneal Dialysis Induced Bilateral Blindness in a Patient with End Stage Renal Disease

Ana Dvalishvili1*, Tatsiana Imshenetskya2 and Khatuna Sagamelidze1,2

1New Vision University, High Technology Medical Center, University Clinic, Tbilisli, Georgia
2Belarusian Medical Academy of Post Graduate Education, Minsk, Belarus

*Corresponding Author: Ana Dvalishvili, New Vision University, High Technology Medical Center, University Clinic, Tbilisli, Georgia.

Received: August 21, 2021; Published: October 07, 2021;

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Abstract

Background: Bilateral acute blindness is a rare eye complication in an adult patients undergoing peritoneal dialysis and in this cases mostly is associated with a severe uncontrolled systemic hypotension. Information about the incidence, severity, and course of arterial hypotension induced eye complication in adults receiving chronic peritoneal dialysis (CPD) is limited.

Case Report: A 51 -year-old female with End Stage Renal disease of unknown etiology undergoing peritoneal dialysis for the previous 3 years. She had a longstanding history of persistent hypotension which was fluctuated from 90/60 mmHg to 60/40 mmHg. She was having several episodes of total visual loss (during past 5 days), which were recovering after the sessions of peritoneal dialysis. After the last episode, when her BP was 60/30, she totally loss her VA.

Results: Bilateral Anterior-Ischaemic optic neuropathy (AION) is manifested with painless total VA loss and swelling of the optic disc.

The review of literature describing effects of uncontrolled, fluctuated hypotension in development of AION is limited. We are predisposing that the fluctuation of BP could be triggering factor for development severe AION together with the duration of hypotension, but both of them is playing a major role in development of AION.

It remains poorly recognized as a complication by both renal physicians and ophthalmologists. We recommend intense control of Blood Pressure and ocular status in all patients undergoing Peritoneal Dialysis.

Uncontrolled hypotension can induced irreversible blindness in adult patients with peritoneal dialysis.

Keywords: Peritoneal Dialysis; Blindness; Hypotension; Ischaemic Optic Neuropathy

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References

  1. Di Zazzo G., et al. “Anterior ischemic optical neuropathy in children on chronic peritoneal dialysis: report of 7 cases”. Dialysis International2 (2015): 135-139.
  2. T L Jackson., et al. “Hypotensive ischemic optic neuropathy and peritoneal dialysis”. American Journal of Ophthalmology1 (1999): 109-111.
  3. Franz Schaefer., et al. “Peritoneal dialysis in infants: never lose sight of-and from-arterial hypotension!”. Peritoneal Dialysis International 2 (2015): 123-124.
  4. Shveta Bansal., et al. “Hypotension-induced blindness in haemodialysis patients”. Clinical Kidney Journal 7.4 (2014): 387-390.
  5. C Basile., et al. “Anterior ischemic optic neuropathy and dialysis: role of hypotension and anemia”. Journal of Nephrology5 (2001): 420-423.
  6. Cuxart M., et al. “Acute bilateral visual loss in a haemodialysed patient”. Nefrologia 25 (2005): 703-705.
  7. Tay E., et al. “Anterior ischaemic optic neuropathy (AION) associated with post dialysis hypotension”. Neuroophthalmologt 33 (2009): 168-173.
  8. Nieto J and Zapata MA. “Bilateral anterior ischaemic optic neuropathy in patients on dialysis: a report of 2 cases”. Indian Journal of Nephrology 20 (2010): 48-50.
  9. Prat NM., et al. “Not just for men”. Survey of Ophthalmology 56 (2011): 173-177.
  10. Buthaina S. “Anterior ischaemic optic neuropathy and dialysis: effect of hypotension”. Oman Journal of Ophthalmology 6 (2013): 64-65.
  11. K S Servilla and G C Groggel. “Anterior ischemic optic neuropathy as a complication of hemodialysis”. American Journal of Kidney Diseases 1 (1986): 61-63.
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Citation

Citation: Ana Dvalishvili., et al. “Peritoneal Dialysis Induced Bilateral Blindness in a Patient with End Stage Renal Disease”. Acta Scientific Medical Sciences 5.11 (2021): 27-29.




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Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.111

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