Table 1.
Clinical summary of cases with membranoproliferative glomerulonephritis with positive eye exam.
| Case 1 | Case 2 | Case 3 | Case 4 | |
|---|---|---|---|---|
| Age at first presentation | 52 | 14 | 24 | 52 |
| Gender | Female | Female | Male | Female |
| Race | Caucasian | Caucasian | Caucasian | Caucasian |
| Systemic disease | Diabetes mellitus; HTN | Diabetes mellitus; HTN | HTN | Monoclonal gammopathy |
| Type of MPGN | II* | Probably Primary** | II* | Probably Secondary* |
| Duplication of basal lamina of glomerulus | Yes | Yes | Yes | Yes |
| Antibodies present (IgG, IgM) | No | Yes | Yes | Yes |
| Complement present (C3) | Yes | Yes | Yes | Yes |
| Smoker | No | No | No | No |
| Age at dx of MPGN | 50 | 28 | 24 | 55 |
| HTN duration (years) | 2 | 26 | 3 | No HTN |
| Hemoglobin level serum | 11.0 | 13.0 | 11.1 | NA |
| Serum creatinine mg/dl | 2.2 | 1.6 | 1.5 | 5.0 |
| Oral corticosteroid intake | Yes | Yes | No | Yes |
| Mycophenolate mofetil intake | Yes | Yes | No | Yes |
| Age at first diagnosis of drusen | 50 | 29 | 24 | 55 |
| Initial vision | 20/25 OD 20/20 OS | 20/20 OD 20/30 OS | 20/20 OD 20/20 OS | 20/60 OD 20/40 OS |
| Final vision | 20/25 OD 20/20 OS | 20/30 OD 20/30 OS | 20/20 OD 20/20 OS | 20/200 OD 20/40 OS |
| Length of follow-up (years) | 1.5 | 37 | 2.5 | 2.0 |
| Drusen type (laminar) | Yes | Yes | Yes | Yes |
| Drusen location | Diffuse till equator | Diffuse till equator | Macula | Posterior pole |
| Drusen size (microns) | 50 | 200 | 25 | 50 |
| Fundus Autofluorescence | Yes | Yes | No | Yes |
| Diffuse thickening of Bruch's membrane | Yes | Yes | No | Yes |
| Serous retinal detachment | No | Yes | No | Yes |
| RPE detachment | No | Yes | No | Yes |
| Choroidal new vessel | No | No | No | No |
Abbreviations: HTN, systemic hypertension; MPGN, membranoproliferative glomerulonephritis; NA, not assessed; OD, right eye; OS, left eye, RPE, retinal pigment epithelium (one asterisk refers to documentation by transmission electron microscopy, and 2 asterisks refers to negative workup for secondary causes of MPGN).