Fulminant proliferative diabetic retinopathy in the non-photocoagulated eye following acute renal failure

International Ophthalmology
Liuna Jang, Carl P Herbort

Abstract

Management of diabetic retinopathy should follow more strict and aggressive rules in patients at risk for severe acute renal impairment. Such patients should be identified and possibly prophylactically laser treated to avoid the severe consequences demonstrated in this case report. A 34-year-old type 2 diabetes patient with a stabilized diabetic retinopathy developed acute and severe retinal decompensation within weeks after acute renal failure complicated his chronic stable renal impairment. Fluorescein angiographic and optical coherence tomographic illustrations of the rapid evolution of the retinal condition are presented. The patient had previously been treated with panretinal photocoagulation in his left eye. After 8 years of regular 6-monthly checked stability, he developed rapid-onset proliferative diabetic retinopathy and macular edema in his right eye within 3 months of his last ocular check-up. Fluorescein angiography showed neovessels and major ischemic areas. Emergency panretinal photocoagulation and a sub-Tenon's injection were necessary to achieve control of the situation with regression of neovessels and complete regression of macular edema. This case shows that it is imperative for nephrologists to be well infor...Continue Reading

References

Jun 19, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R O EstacioR W Schrier
Jan 17, 2002·Diabetologia·M PortaUNKNOWN EURODIAB Prospective Complications Study Group
Aug 23, 2011·Clinical Medicine : Journal of the Royal College of Physicians of London·Piya Sen GuptaJohn V Anderson
Apr 1, 2014·Progress in Retinal and Eye Research·José Cunha-VazConceição Lobo
Nov 14, 2014·International Ophthalmology·Pavel KotlarskyJaime Levy
Dec 4, 2014·Diabetes & Metabolic Syndrome·Salwa Selim Ibrahim Abougalambou, Ayman S Abougalambou

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