Pallid Disc Oedema in a Young Patient: Clinical and Diagnostic Challenge

Liana Dedina, Mark M. Hassall, Shilpanjali Jesudason, Sumu Simon

Research output: Contribution to journalArticlepeer-review


A mid-thirties male with end-stage renal failure receiving haemodialysis on a background of four failed renal transplants, post-transplant lymphoproliferative disorder,and autonomic dysfunction presented with acute vision change in his left eye. Over days his vision in that eye deteriorated from 20/25 to no light perception. Given his complex medical background he was extensively investigated for infective, inflammatory, infiltrative and vasculitic aetiologies to explain acute vision loss with pallid disc swelling. A final diagnosis of non-arteritic anterior ischaemic optic neuropathy secondary to refractive hypotension and haemodialysis was reached.

Original languageEnglish
Pages (from-to)95-98
Number of pages4
Issue number2
Early online date20 Apr 2021
Publication statusPublished - 2022
Externally publishedYes


  • haemodialysis
  • Optic neuropathy
  • pallid disc oedema
  • renal failure


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