Pallid Disc Oedema in a Young Patient: Clinical and Diagnostic Challenge. (4th March 2022)

• Record Type: Journal Article
• Authors: Dedina, Liana; Hassall, Mark M.; Jesudason, Shilpanjali; Simon, Sumu
• Is Part Of: Neuro-ophthalmology. Volume 46:Number 2(2022)
• Page Start: 95
• Page End: 98
• Publication Date: 2022-03-04
• Subjects: Optic neuropathy -- pallid disc oedema -- renal failure -- haemodialysis; Neuroophthalmology -- Periodicals; 617.7
• DOI: 10.1080/01658107.2020.1867873
• Languages: English
• ISSNs: 0165-8107

Abstract

ABSTRACT: 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.