Dr. B. Aruna Deepthi, Dr. VMVRV Prasada Rao
Abstract: Introduction: Chronic renal failure is an irreversible disease and requires dialysis or renal transplantation for survival of the patient. It affects every organ system of the body. The aim of our study is to findout the ocular manifestations in chronic renal failure patients undergoing hemodialysis. Material and methods: This study was conducted in Government general hospital, kadapa, over a period of 4 months i.e. from 3-6-2019 -3-10-2019. Total 100 patients with chronic renal failure undergoing haemodialysis (40 females and 60 males) aged 22- 65 years (mean age of 43) were examined. Complete ocular examination with visual acuity, IOP, biomicroscopic examination and fundoscopy and fundus photography was done. Results: Visual acuity ranging from 6/6 to perception of light was found in both the eyes. IOP was between 15 ? 20 mm Hg in both the eyes. Pterygium was found in 14 (14%) patients, pingecula in 4 patients (4%), conjunctival congestion in 6 patients (6%) and cataracts in 35patients (35%). Hypertensive Retinopathy was found in 48patients (48%) of various stages ranging from stage 1-4 of Keith Wegener?s classification and BRVO in 1(1%) patient. Diabetic retinopathy was found in 33patients (33%), 20 with NPDR (20%), and PDR in 8patients (8%), diabetic maculopathy in 5 patients (5%).Glaucomatous optic atrophy in 5 patients (5%). Conclusions: Chronic kidney disease is a progressive disease and goes undetected and undiagnosed until disease is advanced. Diabetes and Hypertension are the leading causes for renal failure. Most common vision threatening problems in CRF are retinopathy and cataract. Hence it is mandatory to screen all the patients with renal failure to prevent loss of vision.
Keywords: chronic renal failure, hemodialysis, retinopathy, maculopathy, optic atrophy