Sudden Visual Deterioration as the First Symptom of Chronic Kidney Failure
Purpose: We report here a unique case of a sudden loss of vision as the first symptom of an advanced chronic nephropathy. Methods and Results: A 25-year-old man was referred to the Department of Ophthalmology with sudden visual deterioration presumptively diagnosed as bilateral retinitis. The patien...
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doaj-9d6f72ca963046cc88a83fb35f0702672020-11-25T00:19:09ZengKarger PublishersCase Reports in Ophthalmology1663-26992015-11-016339440010.1159/000442182442182Sudden Visual Deterioration as the First Symptom of Chronic Kidney FailureWeronika Pociej-MarciakIzabella Karska-BastaMarek KuźniewskiAgnieszka Kubicka-TrząskaBożena Romanowska-DixonPurpose: We report here a unique case of a sudden loss of vision as the first symptom of an advanced chronic nephropathy. Methods and Results: A 25-year-old man was referred to the Department of Ophthalmology with sudden visual deterioration presumptively diagnosed as bilateral retinitis. The patient had never been under any medical care before and had never had any clinical signs of any chronic disease. He underwent an ophthalmic examination with optical coherence tomography (OCT). Based on the clinical features, OCT scans and systemic blood pressure (BP) assessment (225/145 mm Hg), the patient was definitely diagnosed with hypertensive retinopathy and choroidopathy due to hypertensive crisis. After urgent diagnostic procedures, the patient was diagnosed with a chronic kidney disease at stage 5 in the course of chronic glomerulonephritis. Immediately, a renal replacement therapy was started and the patient was qualified for renal transplantation. Conclusion: Adolescents with an unclear picture of retinal lesions, who have neither a history nor clinical signs of a systemic disease, should undergo careful systemic screening with BP assessment. A sudden deterioration of vision may be the first symptom of a previously undiagnosed severe systemic disease (very rare chronic) that requires immediate treatment.http://www.karger.com/Article/FullText/442182Hypertensive crisisHypertensive choroidopathyHypertensive retinopathyChronic renal failure |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Weronika Pociej-Marciak Izabella Karska-Basta Marek Kuźniewski Agnieszka Kubicka-Trząska Bożena Romanowska-Dixon |
spellingShingle |
Weronika Pociej-Marciak Izabella Karska-Basta Marek Kuźniewski Agnieszka Kubicka-Trząska Bożena Romanowska-Dixon Sudden Visual Deterioration as the First Symptom of Chronic Kidney Failure Case Reports in Ophthalmology Hypertensive crisis Hypertensive choroidopathy Hypertensive retinopathy Chronic renal failure |
author_facet |
Weronika Pociej-Marciak Izabella Karska-Basta Marek Kuźniewski Agnieszka Kubicka-Trząska Bożena Romanowska-Dixon |
author_sort |
Weronika Pociej-Marciak |
title |
Sudden Visual Deterioration as the First Symptom of Chronic Kidney Failure |
title_short |
Sudden Visual Deterioration as the First Symptom of Chronic Kidney Failure |
title_full |
Sudden Visual Deterioration as the First Symptom of Chronic Kidney Failure |
title_fullStr |
Sudden Visual Deterioration as the First Symptom of Chronic Kidney Failure |
title_full_unstemmed |
Sudden Visual Deterioration as the First Symptom of Chronic Kidney Failure |
title_sort |
sudden visual deterioration as the first symptom of chronic kidney failure |
publisher |
Karger Publishers |
series |
Case Reports in Ophthalmology |
issn |
1663-2699 |
publishDate |
2015-11-01 |
description |
Purpose: We report here a unique case of a sudden loss of vision as the first symptom of an advanced chronic nephropathy. Methods and Results: A 25-year-old man was referred to the Department of Ophthalmology with sudden visual deterioration presumptively diagnosed as bilateral retinitis. The patient had never been under any medical care before and had never had any clinical signs of any chronic disease. He underwent an ophthalmic examination with optical coherence tomography (OCT). Based on the clinical features, OCT scans and systemic blood pressure (BP) assessment (225/145 mm Hg), the patient was definitely diagnosed with hypertensive retinopathy and choroidopathy due to hypertensive crisis. After urgent diagnostic procedures, the patient was diagnosed with a chronic kidney disease at stage 5 in the course of chronic glomerulonephritis. Immediately, a renal replacement therapy was started and the patient was qualified for renal transplantation. Conclusion: Adolescents with an unclear picture of retinal lesions, who have neither a history nor clinical signs of a systemic disease, should undergo careful systemic screening with BP assessment. A sudden deterioration of vision may be the first symptom of a previously undiagnosed severe systemic disease (very rare chronic) that requires immediate treatment. |
topic |
Hypertensive crisis Hypertensive choroidopathy Hypertensive retinopathy Chronic renal failure |
url |
http://www.karger.com/Article/FullText/442182 |
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