A Clinical Study of Retinal Changes in Chronic Renal Failure Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Introduction: Chronic renal failure (CRF) affects every organ including eye. The prevalence is increasing all over world. Retinal changes were blamed to be the main culprit responsible for deterioration of vision in CRF patients. Aim: We aimed to prospectively analyse the retinal changes among CRF patients. It is intended to screen patients for any visual threat so that necessary advise can be given before they become visually impaired. Subjects and Methods: The present study was done from October 2016 to March 2017 on 60 consecutive patients who were admitted in Nephrology ward G.M.C /GGH, Guntur. Patients were staged using Cockcrouft-Gault formula into stage 1-5. Results : When the results are analysed 40-60 yrs age group(70%) is commonly affected with a definite male preponderance(70%).The most common etiological factor leading to CRF in these patients is diabetes mellitus(32%) followed by combined form (diabetes and hypertension)(29%),followed by hypertension(25%) and some are due to glomerulonephritis and polycystic kidney disease. Most of the patients in the study are with stage 2 & 3 CRF. Diabetic retinopathy(32%) is the most common finding followed by combined manifestation(29%),followed by hypertensive retinopathy(25%).The visual impairment was more due to diabetic retinopathy than hypertensive retinopathy . In patients having both diabetes and hypertension often retinopathy was worse. The severity of retinopathy was more as the renal disease progressed. Conclusion: Retinopathy is often asymptomatic in its most treatable stage . Delay in diagnosis can result in significant increase in patients risk of visual loss . Ocular screening of CRF patients in their early stages is important as significant number of patients in this study required and were advised treatment so that irreversible visual impairment could be prevented.
Authors and Affiliations
Dr. B. Manjula M. S. , Dr. Muzafer Hussain Khadari M. S, Dr. Soujanya Velampalli
Keywords
Related Articles
- EP ID EP594672
- DOI 10.9790/0853-1604063134.
- Views 67
- Downloads 0
The Common Age Range of the Highest Incidence Rate of Traumatic Brain Injury As Risk Factor is Different Between Areas
Objective: proofing that each area has its own common age range group as risk factor to head injuries by specifying common age range having highest incident rate to traumatic brain injury at Zhenjiang city in Jiangsu pro...
A Study of Cognitive Deficits In Patients Suffering From Depression In Tertiary Care Center In Easten India.
Background and objectives: Emotional processing, motivational processing and cognitive processing each require interaction within and among specific brain networks. Major depressive disorder is a common condition with a...
Immediate Non Invasive Aesthetic Managem
Anterior open bite is considered as one of the most complex and difficult problems to treat in aesthetic dentistry. Over the years, various multidisciplinary treatment modalities involving orthodontic or surgical correct...
Customized Surgical Plate-Screw Holder- A step towards efficiency enhancement
Abstract: Routinely performed Oral and Maxillofacial Trauma Surgeries involve the use of various surgical Plates and Screws of varying dimensions. The surgical screws and plates used in the surgeries are available in dif...
Comparative study of exfoliated oral mucosal cell micronuclei frequency in normal and tobacco users progressing to malignancy.
INTRODUCTION : Premalignant lesions have higher risk of developing oral carcinomas. Micronucleus characteristically seen in exfoliated epithelial cell; expresses genotyping alteration caused in process of malignancy duri...