Original scientific paper
Ocular Findings in Patients with Chronic Renal Failure undergoing Haemodialysis
Romano Vrabec
Zoran Vatavuk
Draško Pavlović
Antonio Sesar
Svjetlana Čala
Krešimir Mandić
Kajo Bućan
Abstract
The aim of this paper was to evaluate the ocular findings in patients with chronic renal failure (CRF) undergoing
haemodialysis (HD). In 64 patients undergoing haemodialysis (30 female and 34 male), aged 24–83 years (mean 58
years) on haemodialysis 1–213 months (mean 47 months) complete ocular examination were performed: visual acuity
(VA), intraocular pressure (IOP), biomicroscopic examination and fundoscopy. On right eye sixty-nine percent of patents
had VA 0.6 or better, and on left eye 84% of patients had VA 0.6 or better. Mean IOP before dialysis was 15 mmHg
and after dialysis was 14 mmHg. In 9 patients (14%) we found corneo-conjunctival calcium deposits. No correlation of
ocular calcification and parathyroid hormone (PTH) level or calcium and phosphate product were observed. 39 (60%)
patients had cataract. Hypertensive vascular changes were seen in 44 (68%) patients and in 6 (7%) patients age-related
macular degeneration. Seven patients had diabetes mellitus and in 5 diabetic retinopathy was observed. Patients with
CRF or who are receiving HD represent unique group of patients. Pathologic change could be found in many tissue and
organs, therefore we suggest ocular examination more frequently in dialysis patients.
Keywords
chronic renal failure; haemodialysis; ocular findings
Hrčak ID:
27914
URI
Publication date:
20.6.2005.
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