Pallid Disc Oedema in a Young Patient: Clinical and Diagnostic Challenge

A mid-thirties male with end-stage renal failure receiving haemodialysis on a background of four failed renal transplants, post-transplant lymphoproliferative disorder,and autonomic dysfunction presented with acute vision change in his left eye. Over days his vision in that eye deteriorated from 20/...

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Bibliographic Details
Published in:Neuro-ophthalmology (Amsterdam : Aeolus Press. 1980) 2022-03, Vol.46 (2), p.95-98
Main Authors: Dedina, Liana, Hassall, Mark M, Jesudason, Shilpanjali, Simon, Sumu
Format: Article
Language:English
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Case Report
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Summary:A mid-thirties male with end-stage renal failure receiving haemodialysis on a background of four failed renal transplants, post-transplant lymphoproliferative disorder,and autonomic dysfunction presented with acute vision change in his left eye. Over days his vision in that eye deteriorated from 20/25 to no light perception. Given his complex medical background he was extensively investigated for infective, inflammatory, infiltrative and vasculitic aetiologies to explain acute vision loss with pallid disc swelling. A final diagnosis of non-arteritic anterior ischaemic optic neuropathy secondary to refractive hypotension and haemodialysis was reached.
ISSN:0165-8107
1744-506X
DOI:10.1080/01658107.2020.1867873