혈액 투석 환자에서 발생한 비동맥염성 앞허혈시신경병증 1예

• 영문명: A Case of Acute Nonarteritic Anterior Ischemic Optic Neuropathy in Patient on Hemodialysis
• 발행기관: 대한안과학회
• 저자명: 곽애영 김규아 최정범,Ae Young Kwak, MD,, Gyu Ah Kim, MD,, Jung Bum Choi, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number12, 1960~1965쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2013.12.13

영문 초록

Purpose: To report a case of non-arteritic anterior ischemic optic neuropathy (NAION) in a patient on hemodialysis.
Case summary: A 59-year-old female undergoing intravenous hemodialysis developed sudden blurred vision for 2 days. Chronic hypotension and anemia may have been persisted for approximately 6 months before the onset of symptoms. Her corrected visual acuity in both eyes was 0.7 and visual field test showed superior arcuate defect in the left eye. Fundus photography showed inferonasal optic disc swelling and fluorescein angiography revealed hyperfluorescence of the disc in the late phase which was probably attributable to NAION. After 3 weeks, corrected visual acuity was 0.7 in the left eye and fundoscopic finding of the left eye was improved.
Conclusions: Hemodialysis can cause a hypotensive event and anemia which may be associated with NAION. Avoiding acute hypotension and anemia should be advised to prevent development of NAION in dialysis patients.
J Korean Ophthalmol Soc 2013;54(12):1960-1965

키워드

Anemia, Hemodialysis, Hypotension, Non-arteritic anterior ischemic optic neuropathy