Abstract

Purpose: To report new OCT and Humphrey field findings in a female patient with IgA Nephropathy
Materials and methods: A 20 year female patient reported with blurred vision in right eye since 1 week. Patient admitted for skin rashes, hematuria and pain abdomen 8 months ago. Skin biopsy showed leokocytoclastic vasculitis. Renal biopsy showed glomerular mesangial cell hyperplasia. Prednisolone 50mg/day given and tapered over 8 months. Proteinuria appeared 1 month later. Vision 6/9 in RE and 6/6 in LE with normal colour vision. Fundus showed signs of early papilledema. OCT showed inferior NRR thinning and disc elevation with parafoveal thickening. Inferior hemifield defect noted more in right eye.
Results: TLC 11720cells/cu mm and ESR 60mm/hr. urine revealed albumin. C3 ,c4 and ANCA panel negative.USG abdomen showed fatty liver and mesenteric nodes.
Conclusion: patients with disc and macular drusenoid changes with hemifield defects could be early fundal signs of IgA nephropathy.