Ocular Findings in Diabetics and Hypertensives Undergoing Hemodialysis

Abstract

Renal failure affects every organ including eye. The aim of this study is to observe and estimate ocular pathologies in patients undergoing haemodialysis due to diabetic and/ or hypertensive retinopathy. 100 patients, undergoing haemodialysis, between December 2012 to December 2013 were screened in this cross sectional, analytical type of study. 41% of patients were between 51-60 years of age. Male: female ratio 1.7:1. 71% were underweight. Out of 200 eyes examined, 16% had a visual acuity less than 5/60. Lid oedema was present in 13.5% & conjunctival pallor in 16.5%, 66.5% had cataract & 57.5% had IOP in the range of 10-15mm Hg. Fundus showed hypertensive retinopathy in 27%, non proliferative diabetic retinopathy in 29%, macular oedema in 12%, PDR in 5.5%, disc pallor in 5%, vitreous haemorrhage in 4%, glaucomatous optic atrophy in 3.5%, ERM in 1.5%, BRVO 0.5% and CRVO in 0.5%. Vision threatening ocular conditions is prevalent among patients undergoing haemodialysis. Early detection and treatment of these can help in improving the daily life of these patients.