Ocular findings in IgA nephropathy with renal failure and hypertension.
A patient with IgA nephropathy developed cotton-wool spots and serous retinal detachments. Fluorescein angiography demonstrated choroidal infarcts in both eyes from hypertensive retinopathy in acute on chronic renal failure. Plasmapheresis and hemodialysis led to visual recovery. Acute ocular hypertensive changes from IgA nephropathy may be reversed by plasmapheresis and hemodialysis.
Taban
Mehran
M
Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Chand
Deepa
D
Sears
Jonathan E
JE
D000293:Adolescent; D000959:Antihypertensive Agents / Q000627:therapeutic use; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D005922:Glomerulonephritis, IGA / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010956:Plasmapheresis; D012164:Retinal Diseases / Q000175:diagnosis / Q000209:etiology*; D016896:Treatment Outcome; D014792:Visual Acuity
D000959:Antihypertensive Agents