Optical coherence tomography confirmed resolution of macular edema in a diabetic patient after hemodialysis.
OBJECTIVE
The authors report the first case, to their knowledge, of resolution of diffuse macular edema after hemodialysis, which has been confirmed by optical coherence tomography.


METHODS
A 53-year-old white woman with type 2 diabetes developed worsening macular edema and was examined in the ophthalmology clinic and scheduled for macular grid laser photocoagulation. The laser, however, was deferred for 4 weeks because she had also developed end-stage renal failure and required hemodialysis.


RESULTS
When she was reviewed in the ophthalmology clinic 4 weeks later for laser therapy, it was found that her macular edema had resolved, vision had improved, and laser was unnecessary. Review at 6 months showed that the macular edema remains resolved.


CONCLUSIONS
Ophthalmologists should be aware that hemodialysis may reduce macular edema in such patients.
*Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham, United Kingdom; †School of Life and Health Sciences, Aston University, Birmingham, United Kingdom; and ‡Department of Renal Medicine, Heartlands Hospital, Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham, United Kingdom.
Zahir B
ZB
Mirza
Sreekantam
S
Sreekanth
Jonathan M
JM
Gibson
Indranil
I
Dasgupta