Abstract :
Aim: We aim to assess the association of ocular manifestations with chronic kidney disease and correlating it with the stages of chronic kidney disease.
Materials and Methods: It was a cross-sectional study carried out in tertiary medical college in Central Maharashtra. A total of 84 patients were examined over a period of 18 months. Detailed ocular and systemic examinations were undertaken. Dilated fundus evaluation was done with slit lamp biomicroscopy and indirect ophthalmoscopy. Positive anterior and posterior segment findings were noted.
Results: Out of 168 eyes of 84 patients, 111 eyes had posterior segment involvement, 25 eyes had anterior segment involvement and 22 eyes had both anterior and posterior segment involvement. Most common posterior segment pathology was hypertensive retinopathy followed by diabetic retinopathy. Anterior segment findings did not correlate with the stage of the disease whereas severe stage of diabetic retinopathy was present in later stages of chronic kidney disease.
Conclusion: Present study showed a strong association of ocular manifestation in chronic kidney disease. Ocular involvement in CKD patients if not detected early can lead to permanent and irreversible visual loss, therefore pressing the need for ophthalmic examination in such cases.
Keyword :
Chronic kidney disease, Hypertensive retinopathy, Ocular manifestation.