VANISHING RETINAL DETACHMENT.
OBJECTIVE
The purpose of this report is to describe a case of rhegmatogenous retinal detachment in the setting of chronic kidney disease that exhibited complete retinal reattachment after serial hemodialysis.


METHODS
Retrospective case report.


RESULTS
A 58-year-old woman with acute vision loss was found to have a macula-involving rhegmatogenous retinal detachment. Due to chronic kidney disease, she continued with routinely scheduled hemodialysis for 1 week until surgical clearance was obtained. Preoperative examination revealed complete reattachment of the retina with a persistent retinal tear. Barrier laser was applied to the tear and the retina remained attached until the most recent follow-up 8 months later. The workup of alternate etiologies was unrevealing.


CONCLUSIONS
This case describes a temporal association between hemodialysis and resolution of subretinal fluid due to rhegmatogenous retinal detachment. A potential causal linkage is suggested based on shifting fluid dynamics associated with hemodialysis. A shift in treatment paradigm is not advised.
Southern California Desert Retina Consultants, Palm Desert, California.
Maziar
M
Lalezary
D005260:Female; D006801:Humans; D008875:Middle Aged; D012075:Remission, Spontaneous; D051436:Renal Insufficiency, Chronic / Q000150:complications*; D012163:Retinal Detachment / Q000209:etiology*; D012189:Retrospective Studies