Focal Chorioretinal Atrophic Lesions in Patients Treated with Hemodialysis

Abstract

Five patients treated with hemodialysis had focal chorioretinal atrophic lesions. These lesions had not been noted before the hemodialysis treatment. Although the lesions resembled those of ocular toxoplasmosis and histoplasmosis, serum titers and skin reactions for those organisms were negative or within the normal range. Focal retinochoroidal lesions in patients receiving hemodialysis may indicate a possible sign of infection.

Retinal nerve fiber layer thickness in chronic renal failure without diabetes mellitus

“…In chronic renal failure (CRF), there is a retention of substances normally secreted in the urine which cause a toxic effect on various organs. Previously, many ocular alterations have been observed and described in patients with CRF, involving reduction of lacrimal secretion, calcium deposits in the cornea, cataract, glaucoma, retinal abnormalities, and optic neuropathy (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). Optic neuropathy is a well-known complication of renal failure treated with dialysis.…”

Localized Chorioretinal Degeneration in Patients Receiving Hemodialysis

“…O f 55 hemodialysis patients. 6 with peripheral retinal microaneurysms, 3 with irregular macular pig mentation and 5 with focal chorioretinal atrophic lesions were previously described [3,4,9].…”