Hallazgos retinales en paciente con glomerulonefritis proliferativa mesangial

Franco Malfatti; Osvaldo Bosco; Emiliano Facundo Ross

doi:10.70313/2718.7446.v18.n3.434

Authors

Franco Malfatti Hospital Posadas
Osvaldo Bosco Hospital Posadas
Emiliano Facundo Ross Hospital Posadas

DOI:

https://doi.org/10.70313/2718.7446.v18.n3.434

Keywords:

mesangial proliferative glomerulopathy, retina, optical coherence tomography, glomerulonephritis

Abstract

Objective. Mesangial proliferative glomerulopathy (MPG) is characterized by the proliferation of mesangial cells with extracellular matrix accumulation. The aim of this article is to describe retinal findings in the fundoscopy of a patient with MPG.

Case report. A 34-year-old female presented for a routine check-up. She had a medical history of bronchial asthma, hypertension (HTN), and MPG with IgM deposits, which required renal transplantation. On examination, her visual acuity was 10/10 in both eyes. Fundoscopy revealed multiple round lesions smaller than ¼ of the optic disc diameter in the posterior pole, affecting the macula, perifoveal areas, and 360° of the peripheral retina. Optical coherence tomography (OCT) showed posterior profile alterations consistent with drusen-like deposits at the retinal pigment epithelium (RPE), and multiple hyperreflective images indicative of RPE alterations were observed in the retinofluoresceinography. Additionally, visual field studies revealed isolated scotomas in both eyes, and the electroretinogram showed normal characteristics.

Conclusion. As demonstrated in this case, retinal findings in MPG provide valuable information about ocular involvement in mesangial proliferative glomerulopathy and enable the monitoring of these patients for early detection and/or prevention of potential complications.

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Author Biographies

Franco Malfatti , Hospital Posadas

Servicio de Oftalmología. Hospital Dr. Prof. Alejandro Posadas. El Palomar, Buenos Aires, Argentina.
Osvaldo Bosco , Hospital Posadas

Servicio de Oftalmología. Hospital Dr. Prof. Alejandro Posadas. El Palomar, Buenos Aires, Argentina.
Emiliano Facundo Ross , Hospital Posadas

Servicio de Oftalmología. Hospital Dr. Prof. Alejandro Posadas. El Palomar, Buenos Aires, Argentina.

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