Bilateral Central Serous Chorioretinopathy in a Middle-Aged Woman with IgA Nephropathy

Chia-Ju Lu ； Yu-Chien Hung ； Chien-Chih Chou ； Shang-Feng Tsai ； Wen-Hong Ho ； Amy Shih-I Pai ； Min-Yen Hsu

《中山醫學雜誌》 32卷2期 (2021/12) Pp. 187-190

摘要

We report a case of bilateral central serous chorioretinopathy (CSCR) in a middle-aged woman with IgA nephropathy which resolved after hemodialysis. A 43-year-old Chinese woman with a history of IgA nephropathy was diagnosed with bilateral CSCR after sudden reduction in central visual acuity based on spectral domain optical coherence tomography (SD-OCT), fundus fluorescein angiography (FFA), indocyanine green angiography (ICG), and color fundus photographs. This patient had suffered from IgA nephropathy and end stage renal disease since September 2009. Before being diagnosed with bilateral CSCR, she had received steroid therapy with oral prednisolone 0.2 mg/kg/day for years. Bilateral CSCR was found during examination at the ophthalmology clinic due to presentation of blurred vision on Aug 22, 2017. Bilateral CSCR mildly improved after administration of eplerenone (Inspra). One month after onset of bilateral CSCR, she was hospitalized and began receiving hemodialysis due to acute uremic symptoms. Bilateral CSCR resolved after hemodialysis for 14 days. Bilateral CSCR may improve rapidly after hemodialysis, such as in this case of a middle-aged woman with end stage renal disease.

關鍵字

central serous chorioretinopathy ； IgA nephropathy ； hemodialysis