Korzets Z, Zeltzer E, Rathaus M, Manor R, Bernheim J
Department of Nephrology, Meir Hospital, Kfar-Saba, Israel.
Am J Nephrol. 1998;18(3):240-2. doi: 10.1159/000013344.
A 41-year-old male patient in end-stage renal failure presented on two occasions, over an 18-month period, with painless unilateral visual deterioration and optic disc edema. Clinical findings were compatible with a diagnosis of uremic optic neuropathy. On his initial presentation, the patient refused the onset of dialysis, resulting in a permanent visual deficit of the left eye. On his subsequent admission with a similar clinical picture, this time of the right eye, dialysis combined with corticosteroid therapy was promptly instituted. This led to a rapid improvement of the visual acuity and visual field defects of the right eye concomitant with subsidence of the edema of the optic nerve head.
一名41岁的终末期肾衰竭男性患者，在18个月的时间里两次出现无痛性单侧视力下降和视盘水肿。临床检查结果与尿毒症性视神经病变的诊断相符。在首次就诊时，患者拒绝开始透析，导致左眼永久性视力缺损。在他随后因类似临床表现再次入院时，这次是右眼，立即开始了透析联合皮质类固醇治疗。这使得右眼的视力和视野缺损迅速改善，同时视神经乳头水肿消退。
