When All Else Fails, Lay on Hands (MRI Sagittal)

Photopsias and dark spots in left eye.A 57-year old female with an 8-month history of photopsia and dark spots OS 1 month after second renal transplant. Renal failure attributed to biopsy-proven renal sarcoidosis.VA: 20/20 OD, 20/25 OS, declining to 20/40 OD; Normal visual field OD, Enlarged blind spot and mild nasal depression OS; RAPD OS; Tonometry: 16 OD, 15 OSMRI; CTPhotopsia and dark spots OS; Progressive field loss OSEnzyme inhibitors; Corticosteroids1. Molina, J et al. Pseudotumor cerebri: an unusual complication of brachiocephalic vein thrombosis associated with hemodialysis catheters. Am J Kidney Dis 1998;31:1-3. 2. Lal S et al. Benign intracranial hypertension: a complication of subclavian vein catheterization and arteriovenous fistula. Am J Kidney Dis 1986;8:262-264. 3. Surratt, R et al. The importance of preoperative evaluation of the subclavian vein in dialysis access planning. Am J Roentgenol 1991;156:623-625. 4. Pisoni R et al. Vascular access use in Europe and the United States: results from the DOPPS. Kidney Int 2002;61:305-316