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

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.