| Autor: |
Shafi, Salman Tahir, Saleem, Mohammad, Abdullah, Wajid, Anjum, Roshina, Shafi, Tahir |
| Předmět: |
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| Zdroj: |
Professional Medical Journal; 2016, Vol. 23 Issue 9, p1104-1109, 6p |
| Abstrakt: |
Diabetes Mellitus and Hypertension are leading causes of chronic kidney disease (CKD). There is limited data on frequency of retinopathy attributed to diabetes mellitus or hypertension in CKD patients in local population. Objective: to determine the frequency of diabetic and hypertensive retinopathy in patients with CKD not on hemodialysis or peritoneal dialysis. Study Design: Cross Sectional. Setting: Nephorology ward at Sharif Medical City Hospital. Period: 6 Month. Methods: All patients between ages of 20-80 years with CKD not previously on renal replacement therapy (hemodialysis or peritoneal dialysis) who were admitted to nephrology ward at tertiary care facility over a 6 month period were included. Fundoscopic examination was performed by a qualified ophthalmologist after dilating pupils. Results: A total of 124 patients were included in the study. Stage V CKD was present in 85.7%. Diabetes Mellitus was present in 84 patients (67.7%). Of these patients, 39 (46.4%) had diabetic retinopathy. Non-proliferative diabetic retinopathy, proliferative diabetic retinopathy and macular edema were found in 27 (69.1%), 4 (10.2%) and 9 (23.1%) patients respectively. Hypertensive retinopathy was present in 51 (49.5%) out of 103 (83%) hypertensive patients. Of these patients, 16 (31.3%) had grade I, 21 (41.2%) had grade II, 11 (21.6%) had grade III and 3 (5.8%) had grade IV hypertensive retinopathy. Conclusion: A significant proportion of patients with advanced CKD have retinopathy. Patients with CKD and diabetes or hypertension should be encouraged to undergo a complete eye examination. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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