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Japanese

Bilateral bullous retinal detachment in a case of renal failure Yoshiyuki Kitaguchi 1 , Yoshihiro Saito 1 , Kazuhito Nakae 1 , Yoshihiro Sakamoto 1 , Noriko Hamanaka 1 , Kentarou Nishida 1 , Mutsumi Takahashi 1 , Kouhei Okada 2 , Yasuyuki Shiotani 3 1Dept of Ophthalmol,Nat Hosp Org Osaka Nat Hosp 2Dept of Ophthalmol,Takatsuki Red Cross Hosp 3Dept of Ophthalmol,Osaka Central Hosp pp.1119-1123
Published Date 2005/7/15
DOI https://doi.org/10.11477/mf.1410100072
  • Abstract
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Purpose:To report a case of renal failure with bilateral bullous retinal detachment. Case and Findings:A 27-year-old woman presented with bilateral impairment of vision since 3 months before. She had had nephrosis and been diagnosed with glomerulosclerosis 3 years before. She had been treated with peroral prednisolone until 8 months before. Her corrected visual acuity was 0.02 right and 0.01 left. Both eyes showed findings of hypertensive retinopathy with bullous retinal detachment. Fluorescein angiography showed patchy dye leakage from retinal pigment epiethelium in areas of choroidal hypoperfusion. She had renal failure,anemia,and systemic hypertension. Hemodialysis was followed by prompt resolution of fundus findings and bullous detachment. She regained visual acuity of 0.2 right and 0.15 left 5 months after her initial visit. Conclusion:There is a possibility that the bullous detachment was caused by renal failure and impairment of retinal pigment epithelium due to systemic hypertension and systemic corticosteroid.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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