VANISHING RETINAL DETACHMENT. Issue Volume 9:Issues 4(2015:Autumn) (2015)

• Record Type: Journal Article
• Authors: Lalezary, Maziar
• Is Part Of: Retinal cases & brief reports. Volume 9:Issues 4(2015:Autumn)
• Publication Date: 2015
• Subjects: retinal detachment -- hemodialysis -- kidney disease; Retina -- Diseases -- Periodicals; Retina -- Periodicals; Retinal Diseases -- Periodicals; Retina -- Case Reports; Retinal Diseases -- Case Reports; 617.7
• DOI: 10.1097/ICB.0000000000000202
• Languages: English
• ISSNs: 1935-1089

Abstract

Abstract : Purpose: The purpose of this report is to describe a case of rhegmatogenous retinal detachment in the setting of chronic kidney disease that exhibited complete retinal reattachment after serial hemodialysis. Methods: Retrospective case report. Results: A 58-year-old woman with acute vision loss was found to have a macula-involving rhegmatogenous retinal detachment. Due to chronic kidney disease, she continued with routinely scheduled hemodialysis for 1 week until surgical clearance was obtained. Preoperative examination revealed complete reattachment of the retina with a persistent retinal tear. Barrier laser was applied to the tear and the retina remained attached until the most recent follow-up 8 months later. The workup of alternate etiologies was unrevealing. Conclusion: This case describes a temporal association between hemodialysis and resolution of subretinal fluid due to rhegmatogenous retinal detachment. A potential causal linkage is suggested based on shifting fluid dynamics associated with hemodialysis. A shift in treatment paradigm is not advised. Abstract : A case of rhegmatogenous retinal detachment in the setting of chronic kidney disease that exhibited complete reattachment of the retina after routine serial hemodialysis.