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NDT Plus Advance Access published online on April 9, 2008
NDT Plus, doi:10.1093/ndtplus/sfn007
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

A dialysis patient with blurred vision

Charles J. Diskin, Thomas J. Stokes, Linda M. Dansby, Lautrec Radcliff, Thomas B. Carter and Allen Lazenby

HNDT, Auburn University, Suite #3, 2609 Village Professional Drive, Opelika, AL 36801, USA

Correspondence: Charles J. Diskin, HNDT, Auburn University, Suite #3, 2609 Village Professional Drive, Opelika, AL 36801, USA. Fax: +334-742-0242; E-mail: hndt512@bellsouth.net

Key Words: complications • haemodialysis • papilloedema • thrombosis • vascular access

Received for publication December 18, 2007. Accepted for publication January 11, 2008.

The first 10% of the full text of this article appears below.


   Introduction
 
Papilloedema is a term that describes a non-inflammatory swelling of the optic nerve head that is now restricted only to patients with increased intracranial pressure. It thus implies a clinical diagnosis in addition to a physical finding while the term optic disc swelling is employed for the mere clinical description. We describe a haemodialysis patient who developed sudden onset of optic disc oedema with a blurred vision that was not associated with increased intracranial pressure and resolved spontaneously.


   Case report
 
A 36-year-old man of African-American descent with end-stage renal disease who had been on haemodialysis for 11 years with a large well-functioning left forearm AV fistula presented with a 1-day history of blurred vision and headaches. His physical examination revealed papilloedema (+4 diopters) despite a blood pressure of only 120/80 mmHg. Visual fields examination was normal and venous pulsations were present with no haemorrhages on . . . [Full Text of this Article]


   Discussion
 

   Teaching points
 

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