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Case Reports

Pallid Disc Oedema in a Young Patient: Clinical and Diagnostic Challenge

ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Pages 95-98 | Received 18 Oct 2020, Accepted 14 Dec 2020, Published online: 20 Apr 2021
 

ABSTRACT

A mid-thirties male with end-stage renal failure receiving haemodialysis on a background of four failed renal transplants, post-transplant lymphoproliferative disorder,and autonomic dysfunction presented with acute vision change in his left eye. Over days his vision in that eye deteriorated from 20/25 to no light perception. Given his complex medical background he was extensively investigated for infective, inflammatory, infiltrative and vasculitic aetiologies to explain acute vision loss with pallid disc swelling. A final diagnosis of non-arteritic anterior ischaemic optic neuropathy secondary to refractive hypotension and haemodialysis was reached.

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