Reversibility of Grade 4 Hypertensive Retinopathy One Month After Living Donor Kidney Transplant in A 26-Year-Old Woman with IGA Nephropathy Induced End Stage Renal Disease: A Rare Case Report

• DOI: 10.47191/ijmscrs/v5-i04-04
• Publication Date: 2025-04-21T08:45:01Z
• Authors: Khin Phyu Pyar; Zayar tun; ; Tun Min Aung; ; Soe Ko Ko Oo; ; Aung Phyo Lat; ; Aung Nyan Lynn; ; Win Min Tun; ; Soe Win Hlaing; ; Aung Phyoe Kyaw; ; Soe Htet Win Thaung; ; Zar Ni Htet Aung; ; Thurein Win

The patient was a 26-year-old woman; she developed end stage renal disease (ESRD) due to IgA nephropathy. She was on maintenance hemodialysis for one year. Her blood pressure was 160/110 mmHg; barely controlled with 4 different anti-hypertensive drugs. It occasionally rose to 220/130 mmHg at the end of hemodialysis. Fundoscopy revealed Grade 4 Hypertensive Retinopathy and carotid intima media thickness was increased (1.0 mm). Her blood pressure decreased to 140/90 mmHg 3 days after living donor kidney transplant, requiring monotherapy. Fundoscopy one month after transplant showed Grade 2 Hypertensive Retinopathy.