A case of bilateral sequential optic neuropathy in a young adult post hemodialysis

Abstract

Ischemic optic neuropathy is a very rare but well-known complication following hemodialysis in patients with chronic kidney disease, It can be potentially blinding when involving both optic nerves and there is no effective established treatment available so far. If involvement of one eye is detected earlier, a multidisciplinary approach and efforts directed at controlling risk factors such as anemia and hypotension will go a long way in preventing the involvement of other eye in young individuals. We report a case of posterior ischemic optic neuropathy in the right eye with recovery of vision but persistent color vision deficit with recent-onset nonarteritic anterior ischemic optic neuropathy in the left eye, which has not been reported so far.

Keywords

• anemia
• hemodialysis
• hypotension
• ischemic optic neuropathy
• visual loss