Case Report

An unusual cause of sudden painful blindness: Chronic renal failure - Case Report

  • Adem Türk
  • Nurettin Akyol
  • Hidayet Erdöl

Turk J Ophthalmol 2009;39(4):310-314


Acute angle-closure glaucoma (AACG) resulting from massive intraocular hemorrhage is a rare and catastrophic complication.


In this study, a 71-year-old male who was admitted to our clinic with sudden painful loss of vision in his right eye is presented.


The patient's history revealed a diagnosis of chronic renal failure. His visual acuity was no light perception in the right eye and 0.4 in the left eye. There were conjunctival hyperemia, chemosis and total hyphema in the right eye. Intraocular pressure was 40 mmHg on the right and 13 mmHg on the left eye. In the ultrasonic examination there was narrowing of the anterior chamber due to anterior displacement of the iris-lens diaphragm and closure of the iridocorneal angle and total hyphema accompanying subretinal massive hemorrhage. AACG secondary to intraocular hemorrhage was diagnosed and treated with antiglaucomatous agents. Two months later phthisical changes (hypotonic and shrunken globe) were observed in this eye.


Patients with chronic renal failure should be closely followed up for the prevention of hemorrhagic complications.

Keywords: Glaucoma, eye hemorrhage, hypertension, chronic kidney failure, blindness