Abstract
Two patients receiving hemodialysis for chronic renal failure developed bilateral bullous retinal detachment associated with multiple underlying serous detachments of the pigment epithelium. Many of the detachments of the pigment epithelium were surrounded by subretinal whitish exudate that was probably fibrinous in type. There was fluorescein angiographic evidence of dehiscence of the pigment epithelium at the margin of some of the pigment epithelial detachments. Failure to recognize the nature of the retinal detachment in one patient resulted in an unsuccessful scleral buckling procedure
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Benson WE, Shields JA, Annesley WH Jr, Tasman W (1980) Idiopathic central serous choroidopathy with bullous retinal detachment. Ann Ophthalmol 12:920–924
Cogan DG (1975) Ocular involvement in disseminated intravascular coagulopathy. Arch Ophthalmol 93:1–8
Friberg TR, Eller AW (1990) Serous retinal detachment resembling central serous chorioretinopathy following organ transplantation. Graefe's Arch Clin Exp Ophthalmol 229:305–309
Gass JDM (1967) Pathogenesis of disciform detachment of the neuroepithelium. II Idiopathic central serous choroidopathy. Am J Ophthalmol 63:587–615
Gass JDM (1973) Bullous retinal detachment. An unusual manifestation of idiopathic central serous choroidopathy. Am J Ophthalmol 75:810–82
Gass JDM (1987) Stereoscopic atlas of macular diseases. Diagnosis and treatment, 3rd edn. CV Mosby, St Louis, pp 46–59
Gass JDM (1991) Central serous chorioretinopathy and white subretinal exudation during pregnancy. Arch Ophthalmol 109:677–681
Gass JDM, Pander SE (1985) Toxemia of pregnancy pigment epitheliopathy masquerading as a heredomacular dystrophy. Trans Am Ophthalmol Soc 83:114–130
Gass JDM, Slamovits TL, Gieser RG, Fuller DG (1991) Posterior chorioretinopathy and retinal detachment after organ transplantation.
Hilton AF, Harrison JD, Lamb AM, et al. (1982) Ocular complications of hemodialysis and renal transplant patients. Aust J Ophthalmol 10:247–253
Jabs DA, Hanneken AM, Schachat AP, Fine SL (1988) Choroidopathy in systemic lupus erythematosus. Arch Ophthalmol 106:230–234
Kayazawa F (1982) Central serous choroidopathy with exudative retinal detachment. Ann Ophthalmol 14:1035–1042
Kitaoka M, Hayasaka S, Mizuno K (1986) Localized chorioretinal degeneration in patients receiving hemodialysis. Ophthalmologica 193:200–206
Klien BA (1968) Ischemic infarcts of the choroid (Elschnig's spots): a cause of retinal separation in hypertensive disease with renal insufficiency. A clinical and histopathologic study. Am J Ophthalmol 66:1069–1074
Miyake K, Miyaki C, Ohno T, Kishi T (1976) A case of uveal effusion onset during hemodialysis. Folia Ophthalmol Jpn 27:1144–1149
Polak BC (1980) Ophthalmological complications of hemodialysis and kidney transplantation. Doc Ophthalmol 49:1–96
Tsukahara I, Uyama M (1978) Central serous choroidopathy with bullous retinal detachment. Albrecht von Graefe's Arch Klin Exp Ophthalmol 206:169–178
Yannuzzi LA (1986) Type A behavior and central serous chorioretinopathy. Trans Am Ophthalmol Soc 84:799–845
Yoshioka H, Katsume Y, Akune H (1981) Experimental central serous chorioretinopathy. I. Clinical findings. Jpn J Ophthalmol 25:112–118
Yoshioka H, Katsume Y (1982) Experimental central serous chorioretinopathy. III Ultra-structural findings. Jpn J Ophthalmol 26:397–409
Author information
Authors and Affiliations
Additional information
Correspondence to: J. Donald M. Gass
Rights and permissions
About this article
Cite this article
Donald, J., Gass, M. Bullous retinal detachment and multiple retinal pigment epithelial detachments in patients receiving hemodialysis. Graefe's Arch Clin Exp Ophthalmol 230, 454–458 (1992). https://doi.org/10.1007/BF00175933
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00175933