Evidence map›Paper›PMID 40530206›Full record

ArticleCureus2025

Ocular Manifestations in Atypical Hemolytic Uremic Syndrome Treated With Ravulizumab: A Case Report and Review of the Literature.

Konstantinos Flindris, Eleni Papafotiou, Elena Mylona, Chrysa Chatzipetrou, Athanasios Kaliardas, Ioannis Koumpoulis, Ioannis Melissourgos

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Konstantinos FlindrisOphthalmology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Eleni PapafotiouOphthalmology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Elena MylonaOphthalmology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Chrysa ChatzipetrouOphthalmology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Athanasios KaliardasOphthalmology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Ioannis KoumpoulisOphthalmology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Ioannis MelissourgosOphthalmology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to report the ocular manifestations in a patient with atypical hemolytic uremic syndrome (aHUS), treated with ravulizumab, highlighting the reversibility of hypertensive retinal changes. We present a retrospective case report of a 27-year-old man diagnosed with aHUS, who underwent comprehensive systemic evaluation after a respiratory infection and a hypertensive crisis. Despite the absence of ophthalmologic complaints, ocular examination revealed grade IV hypertensive retinopathy accompanied by exudative retinal detachment. The patient received a combination of hemodialysis, intensive antihypertensive therapy, and ravulizumab. Remarkably, within one week of treatment initiation, a significant decrease in papilledema and a complete resolution of the exudative retinal detachment were observed. This case highlights the potential for rapid reversal of severe ocular manifestations associated with systemic microangiopathic disorders, such as aHUS. The striking improvement in retinal pathology suggests that the early and aggressive management, including complement inhibition with ravulizumab, may play a crucial role in restoring ocular integrity. Furthermore, the findings advocate for routine ophthalmologic screening in aHUS patients, even in the absence of visual symptoms, to enable prompt identification and intervention in subclinical retinal involvement. Interdisciplinary collaboration between nephrology and ophthalmology is essential to optimize both systemic and ocular outcomes in such complex cases.

Indexed as

ahusatypical hemolytic uremic syndromehemolytic uremic syndromehushypertensive retinopathyocular manifestations

Identifiers

PMID40530206
PMCPMC12170237

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.