Aggressive ophthalmological management in diabetic end-stage renal disease: a study of 31 consecutively referred patients.
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 group.
Berman
D H
DH
Retina Service, Brooklyn Hospital Center, N.Y.
Friedman
E A
EA
Lundin
A P
AP
D000328:Adult; D000368:Aged; D003928:Diabetic Nephropathies / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D003930:Diabetic Retinopathy / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D016030:Kidney Transplantation / Q000706:statistics & numerical data; D017075:Laser Coagulation / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D011446:Prospective Studies; D012017:Referral and Consultation / Q000706:statistics & numerical data; D006435:Renal Dialysis / Q000706:statistics & numerical data; D014792:Visual Acuity; D014821:Vitrectomy / Q000706:statistics & numerical data