Abstract
Exudative retinal detachment occurs when fluid accumulates between the neurosensory retina and the retinal pigment epithelium. Ocular diseases or multisystem conditions such as nephrotic syndrome may lead to exudative retinal detachment. This report describes a case of nephrotic syndrome secondary to minimal change disease, anasarca and bilateral serous macular detachment in an adult patient. A 75-year-old male patient presented to the emergency department with generalized edema, asthenia, and visual impairment. Medical history included a recent diagnosis of nephrotic syndrome [...]
Highlights
Exudative retinal detachment (ERD) occurs when fluid accumulates between the neurosensory retina (NSR) and the retinal pigment epithelium (RPE) in the absence of retinal tears and/or vitreoretinal traction
Medical history included a recent diagnosis of nephrotic syndrome secondary to minimal change disease, which had been controlled with corticosteroid therapy
Subretinal exudation is thought result from changes in choroidal vascular perfusion and permeability or from impaired pump activity in the RPE, which lead to fluid accumulation in the subretinal space (SRS).(1) Other ocular or multisystem conditions such as vascular, inflammatory, or neoplastic diseases may play a role in ERD.[1]
Summary
Susana Henriques , Anna Lima , Júlio Almeida , Rita Basto , Joana Roque , Inês Coutinho , Isabel Prieto. How to cite: Henriques S, Lima A, Almeida J, Basto R, Roque J, Coutinho I, Prieto I. Bilateral retinal detachment – when the kidney meets the eye. Descritores: Descolamento da retina; Síndrome nefrótica; Insuficiência renal crônica. Conflict of interest: the authors declare no conflict of interest. Financial support: the authors received no financial support for this work
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