Bullous retinal detachment and multiple retinal pigment epithelial detachments in patients receiving hemodialysis.
Two patients receiving hemodialysis for chronic renal failure developed bilateral bullous retinal detachment associated with multiple underlying serous detachments of the pigment epithelium. Many of the detachments of the pigment epithelium were surrounded by subretinal whitish exudate that was probably fibrinous in type. There was fluorescein angiographic evidence of dehiscence of the pigment epithelium at the margin of some of the pigment epithelial detachments. Failure to recognize the nature of the retinal detachment in one patient resulted in an unsuccessful scleral buckling procedure.
Gass
J D
JD
Bascom Palmer Eye Institute, University of Miami School of Medicine, FL 33101.
D000328:Adult; D015353:Eye Enucleation; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D053685:Laser Therapy; D010857:Pigment Epithelium of Eye / Q000473:pathology; D006435:Renal Dialysis / Q000009:adverse effects*; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery; D012591:Scleral Buckling; D014792:Visual Acuity