Dynamics of the State of the Eye Fundus of a Patient with Proliferative Diabetic Retinopathy and End-Stage Chronic Renal Failure after Hemodialysis (Clinical Case)
https://doi.org/10.18008/1816-5095-2022-4-893-897
Abstract
Purpose. To analyze a clinical case on the study of the dynamics of the state of the fundus of a patient with proliferative diabetic retinopathy (PDR) and end-stage chronic renal failure (CRF) on the background of hemodialysis (HD).
Patient and methods. A clinical case of the study of the state of the organ of vision against the background of HD in patient S., 36 years old, is presented. Hemodialysis was performed for 4 months using the Artis Surdial-55 device (Nipro, Japan) for 3.5–4 hours with a blood flow rate of 250 ml/min and a dialysis solution flow rate of 500 ml/min. The severity of PDR was assessed using standard methods based on ultrasound (Opticon 2000, Italy), photographic recording of the state of the eye fundus (Carl Zeiss Visucam 500, Germany) and OCT of the macular region (on an RTVue-100 tomograph, OptoVue, USA).
Results and conclusion. Studies before and after a course of HD indicate no changes in the fundus, which is confirmed by the data of an objective examination.
About the Authors
A. S. Golovin
Leningrad Regional Clinical Hospital
Russian Federation
Russian Federation
head of the Ophthalmological department
Lunacharskogo ave., 45, bld. 2, St. Petersburg, 194291, Russian Federation
E. I. Belikova
Academy of Postgraduate Education of the Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency
Russian Federation
Russian Federation
MD, Associate Professor, Professor of the Department of ophthalmology
Volokolamskoe highway, 91, Moscow, 125371, Russian Federation
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Review
For citations:
Golovin A.S., Belikova E.I. Dynamics of the State of the Eye Fundus of a Patient with Proliferative Diabetic Retinopathy and End-Stage Chronic Renal Failure after Hemodialysis (Clinical Case). Ophthalmology in Russia. 2022;19(4):893-897. (In Russ.) https://doi.org/10.18008/1816-5095-2022-4-893-897
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