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

References

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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.

Copyright

Copyright: © 2021 Ana Dvalishvili., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.