Year : 2021 | Volume
: 21 | Issue : 3 | Page : 138--143
Retinal findings in chronic kidney disease patients on hemodialysis
Rasha Youssef Hagag1, Shimaa Hassan El-Attar1, Waleed Elrefaey1, Amin E Nawar2, Nashwa M El gharbawy1
1 Department of Internal Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt
2 Department of Ophthalmology, Faculty of Medicine, Tanta University, Tanta, Egypt
Background Chronic kidney disease (CKD) is an irreversible condition that leads to progression to end-stage renal disease that requires hemodialysis or kidney transplantation for patient survival and these patients are at risk of developing many complications. In the present study, the retinal findings in CKD patients on hemodialysis are evaluated.
Patients and methods This is a cross-sectional noninterventional study that was carried out on CKD patients on hemodialysis for at least 3 months in the Nephrology Unit, Tanta University, Egypt; 160 eyes of 80 patients were included over 6 months. A complete ophthalmic evaluation was performed. Color fundus and spectral domain optical coherence tomography were performed at presentation.
Results The visual acuity ranged from 6/6 to 6/18 in 80 eyes, which represents 50%, from 6/24 to 6/60 in 62 eyes, which represents 38.75%, and from less than 6/60 to perception of light in 18 eyes, which represents 11.25%. Fundus examination revealed that eight eyes were normal (5%). Hypertensive retinal changes occurred in 82 eyes with variable degrees of retinopathy. Diabetic retinopathy was found in 30 (18.75%) eyes and macular degeneration was detected in 20 (12.5%) eyes. Retinal vasculitis occurred in two (1.25%) eyes, branch retinal vein occlusion was detected in six (3.75%) eyes, glaucomatous optic neuropathy was found in eight (5%) eyes and central retinal artery occlusion occurred in four (2.5%) eyes.
Conclusion The most common visual problems in hemodialysis patients that lead to visual loss are hypertensive and diabetic retinopathy. Hence, it is mandatory to screen fundus changes in CKD to prevent loss of vision.
Dr. Rasha Youssef Hagag
BSc Tanta University, MSc of Internal Medicine Tanta University and MD of Internal Medicine Tanta University; Department of Internal Medicine, Nephrology Unit, Faculty of Medicine, Tanta University, Tanta, 31111
|How to cite this article:|
Hagag RY, El-Attar SH, Elrefaey W, Nawar AE, El gharbawy NM. Retinal findings in chronic kidney disease patients on hemodialysis.J Egypt Soc Nephrol Transplant 2021;21:138-143
|How to cite this URL:|
Hagag RY, El-Attar SH, Elrefaey W, Nawar AE, El gharbawy NM. Retinal findings in chronic kidney disease patients on hemodialysis. J Egypt Soc Nephrol Transplant [serial online] 2021 [cited 2022 Jul 5 ];21:138-143
Available from: http://www.jesnt.eg.net/article.asp?issn=1110-9165;year=2021;volume=21;issue=3;spage=138;epage=143;aulast=Hagag;type=0