Bilateral serous retinal detachment associated with end-stage renal disease

Abstract

We present a 27-year-old female with chronic renal disease and history of congenital renal hypoplasia currently under peritoneal dialysis. She was referred for sudden vision loss. Best-corrected visual acuity was 20/200 in the right eye and counting fingers in the left eye. Examination revealed bilateral serous retinal detachment with macular involvement confirmed by optical coherence tomography. Blood laboratory workup was requested, and a presumptive diagnosis of serous retinal detachment associated with peritoneal dialysis was made. She was referred to a nephrologist for dialysis adjustment. One week later, vision improved to 20/25 bilaterally, with complete resolution of retinal detachment.