Hypotension and anaemia--a blinding combination.
We present a case of complete blindness following severe dengue haemorrhagic fever complicated by anaemia and a dialysis-related episode of profound hypotension. The clinical and radiological features indicated an optic neuropathy, most likely ischaemic in aetiology. The features of posterior ischaemic optic neuropathy and differential diagnosis are discussed.
Hughes
E H
EH
Adult Intensive Care Unit, St. Thomas' Hospital, London, United Kingdom.
Graham
E M
EM
Wyncoll
D L A
DL
D000740:Anemia / Q000150:complications*; D001766:Blindness / Q000209:etiology*; D003956:Dialysis / Q000009:adverse effects; D005260:Female; D006801:Humans; D007022:Hypotension / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018917:Optic Neuropathy, Ischemic / Q000209:etiology*; D012307:Risk Factors; D019595:Severe Dengue / Q000150:complications*