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Kaloshina A.A.

Krasnov Research Institute of Eye Diseases

Andreeva N.A.

Research Institute of Eye Diseases

Zhorzholadze N.V.

Research Institute of Eye Diseases

Kalashnikova A.K.

Sechenov First Moscow State Medical University

Sheremet N.L.

Krasnov Research Institute of Eye Diseases

Bilateral vision loss on programmed hemodialysis (clinical observation)

Authors:

Kaloshina A.A., Andreeva N.A., Zhorzholadze N.V., Kalashnikova A.K., Sheremet N.L.

More about the authors

Journal: Russian Annals of Ophthalmology. 2022;138(5‑2): 221‑226

DOI: 10.17116/oftalma2022138052221

Read: 3004 times

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Table of contents

BILATERAL VISION LOSS ON PROGRAMMED HEMODIALYSIS (CLINICAL OBSERVATION)
BILATERAL VISION LOSS ON PROGRAMMED HEMODIALYSIS (CLINICAL OBSERVATION)

To cite this article:

Kaloshina AA, Andreeva NA, Zhorzholadze NV, Kalashnikova AK, Sheremet NL. Bilateral vision loss on programmed hemodialysis (clinical observation). Russian Annals of Ophthalmology. 2022;138(5‑2):221‑226. (In Russ.)
https://doi.org/10.17116/oftalma2022138052221

Подписка 2026 Вестник офтальмологии (Russian Annals of Ophthalmology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The most common complication of hemodialysis is blood pressure decrease, which is an ischemic optic neuropathy risk factor. The article presents a case study of sequential bilateral ischemic optic neuropathy with the development of amaurosis as a result of arterial hypotension against the background of programmed hemodialysis. Differential diagnosis in bilateral visual impairment is discussed.

Keywords:

ischemic optic neuropathy
arterial hypotension
programmed hemodialysis
amaurosis

Authors:

Kaloshina A.A.

Krasnov Research Institute of Eye Diseases

Andreeva N.A.

Research Institute of Eye Diseases

Zhorzholadze N.V.

Research Institute of Eye Diseases

Kalashnikova A.K.

Sechenov First Moscow State Medical University

Sheremet N.L.

Krasnov Research Institute of Eye Diseases

Received:

07.04.2022

Accepted:

06.07.2022

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References:

  1. Smirnov AV, Petrishchev II, Panina IYu, Rumyantsev ASh, Degtyareva OA, Tugusheva FA, Menshutina MA. Glomerular filtration rate is a functional state indicator of the endothelium in the early stages of the chronic kidney disease development. Therapeutic archive. 2007;79(6):25-30. (In Russ.).
  2. Daugirdas JT, Blake PG. Handbook of Dialysis. Third Edition. Transl. from Eng., ed. by Denisov A.Yu., Shilo V.Yu. M. 2003;172. (In Russ.).
  3. Shemesh A, Margolin E. Sequential nonarteritic anterior ischemic optic neuropathy in patient on chronic hemodialysis. CEN Case Rep. 2019;8(2):89-94. Epub 2018 Nov 21.  https://doi.org/10.1007/s13730-018-0372-8
  4. Sheremet NL, Smirnova TV, Ronzina IA, Khanakova NA, Meshkov AD, Kozlovskaya NL, Sheludchenko VM. Analysis of structure, causes, and risk factors of ischemic optic neuro-pathy. Vestnik oftal’mologii. 2017;133(6):50-58. (In Russ.). https://doi.org/10.17116/oftalma2017133650-58
  5. Sabeel A, Al-Hazzaa SA, Alfurayh O, Mikkonen P. The dialysed patient who turned blind during a haemodialysis session. Nephrol Dial Transplant. 1998; 13(11):2957-2958. https://doi.org/10.1093/ndt/13.11.2957
  6. Basile C, Addabbo G, Montanaro A. Anterior ischemic optic neuropathy and dialysis: role of hypotension and anemia. J Nephrol. 2001;14(5):420-423. 
  7. Bansal S, Ansons A, Vishwanath M. Hypotension-induced blindness in haemodialysis patients. Clin Kidney J. 2014;7(4):387-390. Epub 2014 Apr 15.  https://doi.org/10.1093/ckj/sfu036
  8. Al Zubidi N, Zhang J, Spitze A, Yalamanchili S, Lee AG. Pallid disc edema and choroidal perfusion delay in posthemodialysis nonarteritic ischemic optic neuropathy. Can J Ophthalmol. 2013;48(5):e120-123. 
  9. Servilla KS, Groggel GC. Anterior ischemic optic neuropathy as a complication of hemodialysis. Am J Kidney Dis. 1986;8(1):61-63.  https://doi.org/10.1016/s0272-6386(86)80156-1
  10. Sheremet NL, Andreeva NA, Zhorzholadze NV, Kalashnikova AK, Kaloshina AA, Murakhovskaya YuK. «Demieliniziruyushchaya ili nasledstvennaya opticheskaya neiropatiya? Voprosy differentsial’noi diagnostiki». Sbornik statei po materialam XXI nauchno-prakticheskoi neirooftal’mologicheskoi konferentsii. M. 28.01.2022;34-35. (In Russ.).
  11. Shilo VYu, Drachev IYu. Hypotensive episodes on program hemodialysis during a dialysis procedure: a modern approach to diagnosis, prevention and correction. Klinitsist. 2018;12(3-4):30-36. (In Russ.). https://doi.org/10.17650/1818-8338-2019-12-3-4-30-36
  12. Limon U, Akcay BIS, Akcay E. Bilateral simultaneous non-arteritic anterior ischemic optic neuropathy with occlusion of unilateral cilioretinal artery: A case report. North Clin Istanb. 2018;6(4):407-411.  https://doi.org/10.14744/nci.2018.23230
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