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Fundus Changes in (type II) Mesangiocapillary Glomerulonephritis Simulating Drusen: a Histopathological Report

Overview
Journal Br J Ophthalmol
Specialty Ophthalmology
Date 1989 Apr 1
PMID 2713310
Citations 50
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Abstract

We report for the first time to our knowledge the histopathological findings in the eye of a patient with type II mesangiocapillary glomerulonephritis (dense deposit disease) in which a deposit of material morphologically very similar to that which is pathognomonic for the disease in the kidney was demonstrated in Bruch's membrane. The nature of the deposit in the renal lesion is unknown but is considered to represent a structural alteration secondary to a reaction with anticomplement antibody. Clinically the fundus appearance resembled that seen in drusen.

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References
1.
Jampol L, Lahov M, Albert D, Craft J . Ocular clinical findings and basement membrane changes in Goodpasture's syndrome. Am J Ophthalmol. 1975; 79(3):452-63. DOI: 10.1016/0002-9394(75)90622-4. View

2.
Kishi S, Tso M, Hayreh S . Fundus lesions in malignant hypertension. I. A pathologic study of experimental hypertensive choroidopathy. Arch Ophthalmol. 1985; 103(8):1189-97. DOI: 10.1001/archopht.1985.01050080101029. View

3.
Burkholder P, Hyman L, KRUEGER R . Characterization of mixed membranous and proliferative glomerulonephritis: recognition of three varieties. Perspect Nephrol Hypertens. 1973; 1 Pt 1:557-89. View

4.
BUCHANAN W, Ellis P . RETINAL SEPARATION IN CHRONIC GLOMERULONEPHRITIS. REPORT OF A PATIENT CURED BY BILATERAL NEPHRECTOMIES AND SUBSEQUENT SUCCESSFUL KIDNEY TRANSPLANT. Arch Ophthalmol. 1964; 71:182-6. DOI: 10.1001/archopht.1964.00970010198008. View

5.
Nik N, Martin N, BERLER D . Corneal crystalline deposits and drusenosis associated with IgA-kappa chain monoclonal gammopathy. Ann Ophthalmol. 1985; 17(5):303-7, 310. View