Bilateral macular sub‐retinal fluid and retinal pigment epithelial detachment associated with type 2 membrano‐proliferative glomerulonephritis

Abstract

Choroidal neovascularisation (CNV) and idiopathic central serous chorioretinopathy (ICSC) are recognised ocular complications related to type 2 membrano‐proliferative glomerulonephritis. We report a 38‐year‐old white male who presented with a 10‐day history of blurring of vision, micropsia and metamorphopsia. He had been diagnosed recently to have type 2 membrano‐proliferative glomerulonephritis. On examination, there was bilateral retinal pigment epithelial (RPE) detachment with overlying sub‐retinal fluid without any drusen. Fundus fluorescein angiography (FFA) and optical coherence tomography (OCT) confirmed the diagnosis of atypical ICSC. Three months later, sub‐retinal fluid and RPE detachment resolved and VA had recovered to 6/6. The case highlights the importance of ophthalmological assessment in these patients to recognise sight‐threatening complications.

Key words:

• glomerulonephritis
• macula
• retinal pigment epithelial detachment