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Year : 2010  |  Volume : 20  |  Issue : 1  |  Page : 48-50

Bilateral anterior ischemic optic neuropathy in patients on dialysis: A report of two cases

1 Consultores en cirugia Oculoplastica and Ophthalmology Service, Hospital de Sant Joan Despí, Consorci Sanitari Integral, Barcelona, Spain
2 Ophthalmology Service, Hospital Vall d'Hebrón, Barcelona, Spain

Correspondence Address:
J Nieto
Plaza Manuel Corachán 4, bajos, Barcelona 08017
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-4065.62094

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Patients under chronic dialysis treatment suffer from atherosclerotic disease and anemia more frequently than the normal population. This, together with the frequent hypotension, put these patients at increased risk for anterior ischemic optic neuropathy (AION), which may be bilateral and blinding. We present two cases of patients under chronic dialysis who developed bilateral AION after hypotensive events. Bilateral involvement is not unusual in renal replacement patients who suffer from AION. Efforts should be focused on prevention of this complication by improving anemia and blood pressure control because once established, treatment will probably be ineffective.


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