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Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 337-339

Retinal arteriolar calcification and ischemic retinopathy in a patient with chronic kidney disease

1 Department of Vitreo-Retina, Aravind Eye Hospital, Madurai, Tamil Nadu, India
2 Neuro-Ophthalmology, Aravind Eye Hospital, Madurai, Tamil Nadu, India

Correspondence Address:
Dr. Chitaranjan Mishra
Department of Vitreo.Retina, Aravind Eye Hospital, Anna Nagar, Madurai - 625 020, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1696_20

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A 58-year-female with a history of chronic kidney disease presented with defective vision in both the eyes (BE). Her vision was 20/120 in the right eye (RE) and 20/200 in the left eye (LE). Fundus evaluation revealed retinal arteriolar calcification, neovascularization of the disc (NVD), and drusen at the posterior pole in BE. Optical coherence tomography (OCT) images passing through the retinal arterioles indicated hyper reflective structures with back shadowing suggestive of intravascular calcification. En-face OCT angiography images over the optic discs were suggestive of NVD in BE. Blood investigation revealed elevated levels of phosphate and the product of calcium and phosphate levels. The patient was treated with pan-retinal photocoagulation in BE. However, the visual outcome was poor.

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