Effects of haemodialysis on diabetic macular leakage

Br J Ophthalmol. 2000 Dec;84(12):1397-400. doi: 10.1136/bjo.84.12.1397.

Abstract

Aim: To evaluate the effects of haemodialysis on macular oedema by fluorescein angiography in patients with diabetic retinopathy and end stage renal disease.

Methods: In this prospective study, fluorescein angiography was performed on 40 eyes of 22 non-insulin dependent diabetic patients with end stage renal disease just before (baseline) and 4 weeks after the beginning of haemodialysis. The change of macular leakage was determined by evaluating the same phase of the angiograms.

Results: Fluorescein angiograms obtained at 4 weeks showed that macular leakage was unchanged in 28/40 eyes (70%), decreased in 4/40 eyes (10%), and increased in 8/40 eyes (20%) when compared with the baseline appearance.

Conclusions: These results indicate that haemodialysis does not benefit macular leakage in diabetic patients receiving haemodialysis for end stage renal disease.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Diabetic Nephropathies / complications
  • Diabetic Nephropathies / therapy*
  • Diabetic Retinopathy / complications
  • Diabetic Retinopathy / therapy*
  • Edema / complications
  • Edema / therapy
  • Fluorescein Angiography
  • Follow-Up Studies
  • Humans
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / therapy*
  • Macula Lutea*
  • Middle Aged
  • Prospective Studies
  • Renal Dialysis*