Sudden blindness associated with central nervous symptoms in a hemodialysis patient.
Purtscher's-like retinopathy as a cause of sudden blindness in hemodialysis patients is not widely known. This is believed to occur secondary to leukoembolization to retinal arterioles following complement activation. We describe a patient who developed sudden but reversible loss of vision on hemodialysis associated with varying reversible neurological signs and symptoms which we felt may have been a manifestation of leukoembolic aggregates lodging in the arterioles of the retina and central nervous system circulations.
Arora
N
N
Division of Nephrology, University Medical Center, Jacksonville, Fla.
Lambrou
F H
FH
Stewart
M W
MW
Vidrine-Parks
L
L
Sandroni
S
S
D000328:Adult; D001766:Blindness / Q000209:etiology* / Q000473:pathology; D002493:Central Nervous System Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D006435:Renal Dialysis / Q000009:adverse effects*; D012171:Retinal Vessels / Q000473:pathology