Aggressive Ophthalmological Management in Diabetic End-Stage Renal Disease: A Study of 31 Consecutively Referred Patients
作者:
David H. Berman,
Eli A. Friedman,
Andrew P. Lundin,
期刊:
American Journal of Nephrology
(Karger Available online 1992)
卷期:
Volume 12,
issue 5
页码: 344-350
ISSN:0250-8095
年代: 1992
DOI:10.1159/000168470
出版商: S. Karger AG
关键词: Diabetic retinopathy;Laser photocoagulation;Vitrectomy;Uremia;Dialysis;Renal transplant
数据来源: Karger
摘要:
We prospectively followed the course of eye disease in patients with diabetic end-stage nephropathy from the time of initial referral by the renal unit. A total of 31 patients (62 eyes) – 9 of whom had functioning renal transplants and 22 of whom were on maintenance dialysis – were consecutively evaluated for 6-24 months (mean follow-up of 18 months). Visual acuity and diabetic retinopathy stabilized or improved in all 18 eyes of the transplant patients and in 41 of 44 (93%) eyes of the dialysis patients. When first evaluated, economically useful vision (20/200 or better) was present in 11 of 18 (61 %) eyes in the transplant group and in 25 of 44 (57%) eyes in the dialysis group. At the most recent evaluation, economically useful vision was present in 13 of 18 eyes (72%) in the transplant group versus 28 of 44 eyes (64%) in the dialysis group. Ambulatory vision (counting fingers or better) was present in 15 of 18 eyes (83%) in the transplant group versus 37 of 44 eyes (84%) in the dialysis gr
点击下载:
PDF
(1390KB)
返 回