Retinal detachments in a patient with minimal change nephrotic syndrome: Case report and review of the literature
BackgroundTo report an unusual case of minimal change nephrotic syndrome with sudden bilateral retinal detachment.Case presentationA 54-year-old woman with minimal change nephrotic syndrome presented with sudden-onset visual blurring in both eyes. Optical coherence tomography scans revealed macular...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Nephrology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneph.2022.1070792/full |
| _version_ | 1797950685627547648 |
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| author | Chunjian Ye Miaohua Qiu Yu Zhong Jiejian Chen |
| author_facet | Chunjian Ye Miaohua Qiu Yu Zhong Jiejian Chen |
| author_sort | Chunjian Ye |
| collection | DOAJ |
| description | BackgroundTo report an unusual case of minimal change nephrotic syndrome with sudden bilateral retinal detachment.Case presentationA 54-year-old woman with minimal change nephrotic syndrome presented with sudden-onset visual blurring in both eyes. Optical coherence tomography scans revealed macular schisis and extramacular intraretinal separation. A kidney biopsy confirmed the diagnosis of minimal change disease. Glucocorticoid therapy was quickly started. During remission, her vision was restored, with complete resolution of the subretinal fluid observed on optical coherence tomography.ConclusionsIn minimal change nephrotic syndrome, fluid accumulation in the retina layer may occur, and gravity-induced vitreous traction on the inferior retina may cause retinal detachment. Patients should be advised to avoid large swings of the head and neck, handstands, and other activities that may increase the risk of retinal detachment. The possibility of retinal detachment should be considered when blurred vision occurs. |
| first_indexed | 2024-04-10T22:19:02Z |
| format | Article |
| id | doaj.art-af305683277d4782ad23341b73aed017 |
| institution | Directory Open Access Journal |
| issn | 2813-0626 |
| language | English |
| last_indexed | 2024-04-10T22:19:02Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nephrology |
| spelling | doaj.art-af305683277d4782ad23341b73aed0172023-01-18T05:33:24ZengFrontiers Media S.A.Frontiers in Nephrology2813-06262023-01-01210.3389/fneph.2022.10707921070792Retinal detachments in a patient with minimal change nephrotic syndrome: Case report and review of the literatureChunjian YeMiaohua QiuYu ZhongJiejian ChenBackgroundTo report an unusual case of minimal change nephrotic syndrome with sudden bilateral retinal detachment.Case presentationA 54-year-old woman with minimal change nephrotic syndrome presented with sudden-onset visual blurring in both eyes. Optical coherence tomography scans revealed macular schisis and extramacular intraretinal separation. A kidney biopsy confirmed the diagnosis of minimal change disease. Glucocorticoid therapy was quickly started. During remission, her vision was restored, with complete resolution of the subretinal fluid observed on optical coherence tomography.ConclusionsIn minimal change nephrotic syndrome, fluid accumulation in the retina layer may occur, and gravity-induced vitreous traction on the inferior retina may cause retinal detachment. Patients should be advised to avoid large swings of the head and neck, handstands, and other activities that may increase the risk of retinal detachment. The possibility of retinal detachment should be considered when blurred vision occurs.https://www.frontiersin.org/articles/10.3389/fneph.2022.1070792/fullminimal change diseaseretinal detachmentnephrotic syndromeedemahypoproteinemia |
| spellingShingle | Chunjian Ye Miaohua Qiu Yu Zhong Jiejian Chen Retinal detachments in a patient with minimal change nephrotic syndrome: Case report and review of the literature Frontiers in Nephrology minimal change disease retinal detachment nephrotic syndrome edema hypoproteinemia |
| title | Retinal detachments in a patient with minimal change nephrotic syndrome: Case report and review of the literature |
| title_full | Retinal detachments in a patient with minimal change nephrotic syndrome: Case report and review of the literature |
| title_fullStr | Retinal detachments in a patient with minimal change nephrotic syndrome: Case report and review of the literature |
| title_full_unstemmed | Retinal detachments in a patient with minimal change nephrotic syndrome: Case report and review of the literature |
| title_short | Retinal detachments in a patient with minimal change nephrotic syndrome: Case report and review of the literature |
| title_sort | retinal detachments in a patient with minimal change nephrotic syndrome case report and review of the literature |
| topic | minimal change disease retinal detachment nephrotic syndrome edema hypoproteinemia |
| url | https://www.frontiersin.org/articles/10.3389/fneph.2022.1070792/full |
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