Open AccessBilateral anterior ischemic optic neuropathy in patients on dialysis: A report of two cases
Author(s) -
Javier Nieto,
Miguel Ángel Zapata
Publication year - 2010
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.62094
Subject(s) - medicine , anterior ischemic optic neuropathy , dialysis , complication , anemia , blinding , surgery , blood pressure , optic nerve , ophthalmology , randomized controlled trial
Patients under chronic dialysis treatment suffer from atherosclerotic disease and anemia more frequently than the normal population. This, together with the frequent hypotension, put these patients at increased risk for anterior ischemic optic neuropathy (AION), which may be bilateral and blinding. We present two cases of patients under chronic dialysis who developed bilateral AION after hypotensive events. Bilateral involvement is not unusual in renal replacement patients who suffer from AION. Efforts should be focused on prevention of this complication by improving anemia and blood pressure control because once established, treatment will probably be ineffective.