Anterior ischemic optic neuropathy in pediatric peritoneal dialysis: risk factors and therapy
- Resource Type
- Authors
- Andreas Reitner; Christoph Aufricht; Marion R. Munk; Enrico Vidal; Markus Feldkoetter; Stephanie Dufek; Michael Boehm; Thomas Mueller-Sacherer; Mieczysław Litwin; Klaus Arbeiter
- Source
- Pediatric Nephrology. 29:1249-1257
- Subject
- Male
Nephrology
medicine.medical_specialty
Adolescent
Optic Neuropathy
medicine.medical_treatment
Peritoneal dialysis
Autosomal Recessive
Risk Factors
Hypovolemia
Internal medicine
Ischemic
medicine
Polycystic kidney disease
Polycystic Kidney
Humans
Optic Neuropathy, Ischemic
Child
Preschool
Age Factors
Child, Preschool
Female
Hypotension
Infant
Peritoneal Dialysis
Polycystic Kidney, Autosomal Recessive
business.industry
medicine.disease
Autosomal Recessive Polycystic Kidney Disease
Surgery
Blood pressure
Pediatrics, Perinatology and Child Health
Anterior ischemic optic neuropathy
medicine.symptom
Complication
business
- Language
- ISSN
- 1432-198X
0931-041X
Sudden blindness caused by anterior ischemic optic neuropathy (AION) is a rare complication for patients undergoing peritoneal dialysis (PD). Prognosis is generally poor, with AION commonly resulting in permanent visual loss. We first describe four case reports of children with AION during PD treatment. We then review ten additional AION cases reported in the literature and compare these 14 affected patients with a control cohort of 59 non-affected patients in the Vienna PD registry. Significant risk factors for AION were identified as median age (4 vs. 27 months; p