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Bullous retinal detachment and multiple retinal pigment epithelial detachments in patients receiving hemodialysis

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Two patients receiving hemodialysis for chronic renal failure developed bilateral bullous retinal detachment associated with multiple underlying serous detachments of the pigment epithelium. Many of the detachments of the pigment epithelium were surrounded by subretinal whitish exudate that was probably fibrinous in type. There was fluorescein angiographic evidence of dehiscence of the pigment epithelium at the margin of some of the pigment epithelial detachments. Failure to recognize the nature of the retinal detachment in one patient resulted in an unsuccessful scleral buckling procedure

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  1. Benson WE, Shields JA, Annesley WH Jr, Tasman W (1980) Idiopathic central serous choroidopathy with bullous retinal detachment. Ann Ophthalmol 12:920–924

    Google Scholar 

  2. Cogan DG (1975) Ocular involvement in disseminated intravascular coagulopathy. Arch Ophthalmol 93:1–8

    Google Scholar 

  3. Friberg TR, Eller AW (1990) Serous retinal detachment resembling central serous chorioretinopathy following organ transplantation. Graefe's Arch Clin Exp Ophthalmol 229:305–309

    Google Scholar 

  4. Gass JDM (1967) Pathogenesis of disciform detachment of the neuroepithelium. II Idiopathic central serous choroidopathy. Am J Ophthalmol 63:587–615

    Google Scholar 

  5. Gass JDM (1973) Bullous retinal detachment. An unusual manifestation of idiopathic central serous choroidopathy. Am J Ophthalmol 75:810–82

    Google Scholar 

  6. Gass JDM (1987) Stereoscopic atlas of macular diseases. Diagnosis and treatment, 3rd edn. CV Mosby, St Louis, pp 46–59

    Google Scholar 

  7. Gass JDM (1991) Central serous chorioretinopathy and white subretinal exudation during pregnancy. Arch Ophthalmol 109:677–681

    Google Scholar 

  8. Gass JDM, Pander SE (1985) Toxemia of pregnancy pigment epitheliopathy masquerading as a heredomacular dystrophy. Trans Am Ophthalmol Soc 83:114–130

    Google Scholar 

  9. Gass JDM, Slamovits TL, Gieser RG, Fuller DG (1991) Posterior chorioretinopathy and retinal detachment after organ transplantation.

  10. Hilton AF, Harrison JD, Lamb AM, et al. (1982) Ocular complications of hemodialysis and renal transplant patients. Aust J Ophthalmol 10:247–253

    Google Scholar 

  11. Jabs DA, Hanneken AM, Schachat AP, Fine SL (1988) Choroidopathy in systemic lupus erythematosus. Arch Ophthalmol 106:230–234

    Google Scholar 

  12. Kayazawa F (1982) Central serous choroidopathy with exudative retinal detachment. Ann Ophthalmol 14:1035–1042

    Google Scholar 

  13. Kitaoka M, Hayasaka S, Mizuno K (1986) Localized chorioretinal degeneration in patients receiving hemodialysis. Ophthalmologica 193:200–206

    Google Scholar 

  14. Klien BA (1968) Ischemic infarcts of the choroid (Elschnig's spots): a cause of retinal separation in hypertensive disease with renal insufficiency. A clinical and histopathologic study. Am J Ophthalmol 66:1069–1074

    Google Scholar 

  15. Miyake K, Miyaki C, Ohno T, Kishi T (1976) A case of uveal effusion onset during hemodialysis. Folia Ophthalmol Jpn 27:1144–1149

    Google Scholar 

  16. Polak BC (1980) Ophthalmological complications of hemodialysis and kidney transplantation. Doc Ophthalmol 49:1–96

    Google Scholar 

  17. Tsukahara I, Uyama M (1978) Central serous choroidopathy with bullous retinal detachment. Albrecht von Graefe's Arch Klin Exp Ophthalmol 206:169–178

    Google Scholar 

  18. Yannuzzi LA (1986) Type A behavior and central serous chorioretinopathy. Trans Am Ophthalmol Soc 84:799–845

    Google Scholar 

  19. Yoshioka H, Katsume Y, Akune H (1981) Experimental central serous chorioretinopathy. I. Clinical findings. Jpn J Ophthalmol 25:112–118

    Google Scholar 

  20. Yoshioka H, Katsume Y (1982) Experimental central serous chorioretinopathy. III Ultra-structural findings. Jpn J Ophthalmol 26:397–409

    Google Scholar 

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Correspondence to: J. Donald M. Gass

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Donald, J., Gass, M. Bullous retinal detachment and multiple retinal pigment epithelial detachments in patients receiving hemodialysis. Graefe's Arch Clin Exp Ophthalmol 230, 454–458 (1992).

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