OCULAR ABNORMALITIES IN PATIENTS WITH CHRONIC RENAL FAILURE ON HAEMODIALYSIS

Introduction :- Chronic renal failure is an irreversible and progressive process that results in end stage renal disease where patients have to be dependent on replacement therapy for survival. Two most common causes of CKD progressing to end stage renal disease are hypertension and diabetes mellitus. Most vision threatening changes CKD are diabetic and hypertensive retinopathies. The GOAL of our study was to evaluate the ocular abnormalities in chronic kidney disease patients undergoing haemodialysis. Materials & Methods :-In our study we included the patients attending ASRAMS Hospital for dialysis over a period of 6 months (10-09-2017 to 10-03-2018). All the patients were subjected to following tests -snellens chart for visual acuity,Refraction for BCVA wherevereeded,Intraocular pressure measurement,slit lamp biomicroscopy,fundus evaluation post dilatation with 90D/D.O. Results :- A total of 312 patients were studied during this period. Among those patients major causes for visual impairment were hypertensive retinopathy followed by cataract, diabetic retinopathy, glaucomatous optic neuropathy and age related macular degeneration Conclusion :- Our study shows significant prevalence of hypertensive retinopathy, diabetic retinopathy and glaucomatous changes. While ocular calcification was noted only in 7 patients. Hence regular ophthalmic evaluation should be done in patients undergoing dialysis to prevent visual morbidity which is mainly secondary to retinopathy