Ocular manifestations in patients with diabetes with end-stage renal disease

Abstract

PURPOSE: Diabetic nephropathy is the most common cause of kidney failure and end-stage kidney disease. The present study was undertaken to find ocular changes and complications associated with diabetic end-stage kidney disease. MATERIALS AND METHODS: A 1-year cross-sectional study was conducted in the department of ophthalmology at a tertiary care hospital in South India between January 2008 and December 2008 on 50 patients with diabetes mellitus undergoing renal hemodialysis. Patients were subjected to general physical examination, systemic examination, and ocular examination. Best-corrected visual acuity, intraocular pressure, and detailed examination of anterior and posterior segments were assessed. RESULTS: Male (74%) preponderance was observed, and 50% of the patients had age more than 60 years. Thirty-two (32%) of the patients had duration of renal dialysis CONCLUSION: Patients with diabetic end-stage kidney diseases are at high risk of ocular morbidities. Timely screening and treatment may help to reduce the ocular morbidities in this group.