Sudden Blindness in a Hemodialysis Patient on Digoxin

Abstract

A hemodialysis patient with atrial fibrillation and ischemic heart disease, already taking amiodarone and diltiazem, presented with complete blindness after commencing digoxin. A highly elevated serum digoxin concentration was discovered and treated with Digibind ® , with gradual but complete return of his vision. This case highlights a rare complication of digoxin potentiated by renal failure, medication interactions and poor communication. World J Nephrol Urol. 2014;3(2):100-102 doi: http://dx.doi.org/10.14740/wjnu155w