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International Ophthalmology

, Volume 38, Issue 5, pp 2163–2166 | Cite as

Post-transplant erythrocytosis-related maculopathy: successful management of hyperviscosity with phlebotomy

  • Sumeet Khanduja
  • Brijesh Takkar
  • Neha Khanduja
  • Pradeep Venkatesh
Case Report
  • 51 Downloads

Abstract

Purpose

To report clinical features in a case of hyperviscosity retinopathy following post-renal transplant erythrocytosis (PTE) and its outcome after phlebotomy.

Methods

Fundus fluorescein angiography and optical coherence tomography (OCT) were carried out for a 29-year-old renal allograft recipient who presented with acute unilateral visual loss.

Result

There was mild retinal vascular dilation in both eyes with retinal hemorrhages and retinal opaqueness in left eye. Cystoid macular edema was noted on OCT. Microvascular leaks and micro-occlusions were seen all around the foveal avascular zone on fluorescein angiogram. Investigations revealed hemoglobin to be 16.8 g%, and a PTE was diagnosed. The patient underwent phlebotomy following which there was near complete resolution of macular edema with improvement in vision.

Conclusion

Hyperviscosity retinopathy can cause acute visual loss in cases of renal allograft recipients who develop PTE. Prompt management with phlebotomy can lead to reversal of macular edema in such cases.

Keywords

Cystoid macular edema Hyperviscosity retinopathy Phlebotomy Post-renal transplant erythrocytosis 

Notes

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest or sources of funding to disclose.

Ethical approval

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments.

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Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

  • Sumeet Khanduja
    • 1
  • Brijesh Takkar
    • 2
  • Neha Khanduja
    • 3
  • Pradeep Venkatesh
    • 2
  1. 1.Head of DepartmentKalpana Chawla Government Medical College and HospitalKarnalIndia
  2. 2.Retina and Uvea ServicesDr R P Centre for Ophthalmic Sciences, All India Institute of Medical SciencesNew DelhiIndia
  3. 3.Department of OphthalmologyIGMCShimlaIndia

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