DR. PRIYAMVADA P V

DR. NEENET JOSE

Abstract

Purpose: To report new OCT and Humphrey field findings

Materials and methods: A 20 year female patient reported with blurred vision in right eye since 1 week. Patient admitted for skin rashes, hematuria and pain abdomen 8 months ago. Skin biopsy showed leokocytoclastic vasculitis. Renal biopsy showed glomerular mesangial cell hyperplasia. Prednisolone 50mg/day given and tapered over 8 months. Proteinuria appeared 1 month later. Vision 6/9 in RE and 6/6 in LE with normal colour vision. fundus showed signs of early papilledema. OCT showed inferior NRR thinning and disc elevation with parafoveal thickening. Inferior hemifield defect noted more in right eye.

Results: urine revealed albumin , RBC , pus cells with positive occult stool blood. C3 ,c4 and ANCA panel negative.

Conclusion: patients with disc and macular drusenoid changes with hemifield defects could be early fundal signs of IgA nephropathy.

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