Ophthalmological complications of haemodialysis and kidney transplantation

Polak, B.C.P.

doi:10.1007/bf00175176

Cited by 22 publications

(9 citation statements)

References 107 publications

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“…This does not correlate with the percentages of lens opaci ties found by other investigators in renal transplant patients: 9% [Porter et al, 1972] and 83% [Polak, 1980]. This discrepancy may be attributable to significantly de creased doses of corticosteroids (below 45%) given to renal transplant patients since 1980 in our transplant unit [van Hoof et al, 1980], It should be noted that corticosteroidinduced damage may occur outside the equa torial region.…”

Section: Discussioncontrasting

confidence: 40%

“…Furthermore, metabolic disturbances including changes in blood urea, phosphate and calcium ion concentra tions due to haemodialysis or renal failure may evoke such reactions [Frey and Fleckenstein, 1985;Polak, 1980]. Lens autofluores cence also depends on the amount of ultra violet (UV) radiation received [Satoh et al, 1973;Lerman, 1976Lerman, , 1984Lerman and Borkman, 1976;Lerman et al, 1978;Zigman, 1983;Hoenders and Bloemendal, 1983].…”

Section: Introductionmentioning

confidence: 99%

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Lens Transmission and Autofluorescence in Renal Disease

et al. 1988

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Autofluorescence and transmission values of the lens for blue-green light were determined at two locations with the use of identical fiuorophotometers: in Coimbra, Portugal, in 44 healthy controls, 15 haemodialysis and 11 renal failure patients, and in Leiden, The Netherlands, in 57 healthy controls, 23 haemodialysis and 47 renal transplant patients. The increase in lens autofluorescence as a function of age was 42 % higher in the Portuguese controls than that in the Dutch controls (p < 0.001), but the lens transmission did not differ significantly (p = 0.21). Significant differences were found between the autofluorescence values of the Portuguese haemodialysis and renal failure patients and those of age-matched local controls (+18%, p = 0.009, and +26%, p = 0.03, respectively), as well as between the lens transmission values of the Portuguese renal failure patients and those of age-matched local controls (-2%, p = 0.03). In the renal transplant patients the average autofluorescence and lens transmission values were equal to those of the local controls (within 3 %) and independent of the number of anti-rejection treatments administered.

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Section: Discussioncontrasting

confidence: 40%

Section: Introductionmentioning

confidence: 99%

Lens Transmission and Autofluorescence in Renal Disease

et al. 1988

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“…Ocular complications such as cataract, cal cium deposits in the cornea, and glaucoma have been reported in patients receiving hemodialysis [1,5], Retinal complications have included vascular abnormalities and pigmentary disturbances [1,2,3,5], Focal chorioretinal atrophic lesions, however, have not been previously described in these pa tients, to our knowledge. We found atrophic lesions in 5 patients, possibly as a result of infection.…”

Section: Introductionmentioning

confidence: 57%

“…Therefore, the lesions may have been closely related to this treatment or to the primary renal disorder. Several ocular complications have been re ported in patients receiving hemodialysis [1,2,3,5], Focal chorioretinal atrophic lesions, however, have not been previously described in these patients, to our knowledge.…”

Section: Discussionmentioning

confidence: 89%

Focal Chorioretinal Atrophic Lesions in Patients Treated with Hemodialysis

Kitaoka¹,

Hayasaka²,

Mizuno³

1986

Ophthalmologica

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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.

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“…renal failure or hemodialysis treat ment. Although choroidal vascular changes in such patients have been suggested briefly by others [6,7,11,13], their description has been more clearly documented herein on flu orescein angiography.…”

Section: Discussionmentioning

confidence: 85%

Localized Chorioretinal Degeneration in Patients Receiving Hemodialysis

Kitaoka¹,

Hayasaka²,

Mizuno³

1986

Ophthalmologica

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We examined 55 patients treated with hemodialysis and found 10 who showed localized chorioretinal degeneration, probably caused by a choroidal vascular disturbance. These changes manifested as a triangular patch, peripapillary or segmental chorioretinal lesions, and localized pigment epithelial alterations on fluorescein angiography. It is possible that chorioretinal complications may be a problem in patients receiving hemodialysis.

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Ophthalmological complications of haemodialysis and kidney transplantation

Cited by 22 publications

References 107 publications

Lens Transmission and Autofluorescence in Renal Disease

Lens Transmission and Autofluorescence in Renal Disease

Focal Chorioretinal Atrophic Lesions in Patients Treated with Hemodialysis

Localized Chorioretinal Degeneration in Patients Receiving Hemodialysis

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