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Case Report: Combined Ischemic Optic Neuropathy and Central Retinal Artery Occlusion after Starting Hemodialysis / Emily M. Carell in OVS : Optometry & Vision Science, vol. 98, 03 (Mars 2021)
[article]
in OVS : Optometry & Vision Science > vol. 98, 03 (Mars 2021)
Titre : Case Report: Combined Ischemic Optic Neuropathy and Central Retinal Artery Occlusion after Starting Hemodialysis Type de document : article de périodique Auteurs : Emily M. Carell Année de publication : 2021 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:D:Dialyse rénale:Dialyse rénale / effets indésirables
[Thésaurus Mesh]:N:Neuropathie optique ischémique:Neuropathie optique ischémique / étiologie
[Thésaurus Mesh]Dialyse rénale
[Thésaurus Mesh]Neuropathie optique ischémique
[Thésaurus Mesh]Occlusion artérielle rétinienne
[Thésaurus HELB]:Optique:Perte de visionRésumé : SIGNIFICANCE: This case highlights ocular ischemia after hemodialysis resulting in permanent vision loss. Fifteen
percent of the U.S. population suffers from chronic kidney disease. Eye care providers should recommend risk factor
modifications to their patients with end-stage renal disease before hemodialysis is started to prevent loss of vision.
PURPOSE: The purpose of this study was to demonstrate a case of concurrent nonarteritic anterior ischemic optic
neuropathy and central retinal artery occlusion in the setting of hemodialysis initiation.
CASE REPORT: A 68-year-old Irish man with end-stage renal disease undergoing dialysis presented, complaining
of 3 weeks of progressive vision loss in his left eye. His medical history is complex and includes extensive cardiac
disease, bilateral carotid stenosis, and peripheral vascular disease. His surgical history includes a right carotid endarterectomy, bilateral lower extremity amputations, and an aortic valve replacement. Clinical examination revealed
light perception vision with an afferent pupillary defect in the left eye and count finger peripheral vision only in the
superior temporal quadrant of his vision. The dilated fundus examination showed significant pallid disc edema and
focal areas of retina whitening with attenuated peripapillary vasculature in the left eye. This edema was confirmed
by optical coherence tomography and supported optic nerve and retinal infarction. A temporal artery biopsy confirmed no evidence of arteritis.
CONCLUSIONS: Hemodynamic disruption during dialysis in patients with end-stage renal disease and overlying
anemia can result in optic nerve and retinal infarction. Patients who are predisposed to nonarteritic anterior ischemic optic neuropathy or central retinal artery occlusion should be educated on this before starting dialysis to ensure
careful blood pressure monitoring.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Case report: varicella-zoster encephalitis with acute retinal necrosis and oculomotor nerve palsy / Steven Charles Quan in OVS : Optometry & Vision Science, vol. 96, 05 (Mai 2019)
[article]
in OVS : Optometry & Vision Science > vol. 96, 05 (Mai 2019)
Titre : Case report: varicella-zoster encephalitis with acute retinal necrosis and oculomotor nerve palsy Type de document : article de périodique Auteurs : Steven Charles Quan ; Dimitra Skondra Année de publication : 2019 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Optique:Perte de vision
[Thésaurus HELB]:Paramédical:Prévention
[Thésaurus Mesh]:E:Encéphalite zostérienne:Encéphalite zostérienne / complications
[Thésaurus Mesh]:S:Syndrome de nécrose rétinienne aigüe:Syndrome de nécrose rétinienne aigüe / thérapie
[Thésaurus Mesh]Syndrome de nécrose rétinienne aigüeRésumé : SIGNIFICANCE Varicella-zoster virus is a common cause of morbidity and vision loss in patients worldwide. It can affect any structure of the eye, from keratitis to acute retinal necrosis. Rapid diagnosis and treatment significantly improve clinical outcomes and quality of life.
PURPOSE The purpose of this study was to demonstrate a case where urgent referral to the emergency department was required to treat a patient with disseminated herpes zoster infection.
CASE REPORT This is a rare case of varicella-zoster virus encephalitis in a 70-year-old immunocompetent white man who initially presented to the eye clinic for vertical diplopia and floaters. He also had prior thoracic dermatomal rash, followed by new-onset headaches and cerebellar ataxia. Examination revealed a partial oculomotor nerve palsy in the right eye with bilateral optic disc edema and areas of retinitis consistent with acute retinal necrosis in both eyes. Polymerase chain reaction analysis of his aqueous humor and cerebrospinal fluid confirmed an active zoster infection. He received combination systemic and intravitreal antiviral medication until his retinitis resolved but required adjustments for recalcitrant disease and drug-induced nephrotoxicity. While on maintenance dosing of oral valacyclovir, he experienced reactivation in the form of bilateral vasculitis, which was successfully managed once restarting therapeutic oral dosing.
CONCLUSIONS This case describes a successful clinical course of acute retinal necrosis with strategies for its treatment in the setting of varicella-zoster encephalitis. Antiviral medication should be given as soon as possible, as prompt treatment has been shown to improve patient outcomes, although prognosis is typically poor in these cases. Multiple specialists are often needed to address different clinical challenges, including central nervous system involvement, viral strain resistance, disease reactivation, and drug toxicity.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire L’œdème maculaire diabétique : complication de la rétinopathie diabétique / Dalila Benhaberou-Brun in Perspective infirmière, vol. 14, 3 (Mai-juin 2017)
[article]
in Perspective infirmière > vol. 14, 3 (Mai-juin 2017) . - p. 24-25
Titre : L’œdème maculaire diabétique : complication de la rétinopathie diabétique Type de document : article de périodique Auteurs : Dalila Benhaberou-Brun ; Sébastien Olivier Année de publication : 2017 Article en page(s) : p. 24-25 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:R:Rétinopathie diabétique:Rétinopathie diabétique / complications
[Thésaurus Mesh]Complications du diabète
[Thésaurus Mesh]Diabète de type 2
[Thésaurus Mesh]Oedème maculaire
[Thésaurus Mesh]Troubles de la vision
[Thésaurus HELB]:Optique:Perte de visionRésumé : Près de 60 000 Canadiens présenteraient une perte de vision causée par un oedème maculaire diabétique. Cette maladie touche environ 20 % des personnes atteintes du diabète de type 2 depuis plus de 20 ans. Le Dr Sébastien Olivier, ophtalmologiste et spécialiste vitréo-rétinien à l’Hôpital Maisonneuve-Rosemont, répond à trois questions au sujet de cette affection grave qui peut entraîner un handicap visuel sérieux, voire la cécité. En ligne : http://www.oiiq.org/sites/default/files/uploads/periodiques/Perspective/vol14no0 [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité P Périodique Erasme - périodiques Périodiques Disponible Study links protein causing alzheimer's disease with commun sight loss / Eef Van Der Worp in Global contact, 87 (Janvier-avril 2021)
[article]
in Global contact > 87 (Janvier-avril 2021) . - p. 30-33
Titre : Study links protein causing alzheimer's disease with commun sight loss Type de document : article de périodique Auteurs : Eef Van Der Worp Année de publication : 2021 Article en page(s) : p. 30-33 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Maladie d'Alzheimer
[Thésaurus Mesh]Protéines
[Thésaurus Mesh]Sujet âgé
[Thésaurus Mesh]Thérapeutique
[Thésaurus Mesh]Vieillissement
[Thésaurus HELB]:Optique:Perte de visionMots-clés : amyloid beta Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité G Périodique Erasme - périodiques Périodiques Disponible