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[Macular edema and chronic renal insufficiency]
R Zhioua1, L Lasram, N Mallouche
1Hôpital Charles-Nicolle, Service d'ophtalmologie, Tunis, Tunisie.
Journal Francais D'Ophtalmologie
|January 1, 1991
Summary
Macular edema can occur in patients with chronic renal failure, potentially linked to impaired kidney function or dialysis. This condition may resolve spontaneously, suggesting a connection to osmotic pressure changes.
Area of Science:
- Ophthalmology
- Nephrology
- Internal Medicine
Background:
- Chronic renal failure (CRF) can lead to various systemic complications.
- Ocular manifestations in CRF patients are not uncommon but warrant further investigation.
Observation:
- Two cases of macular edema in patients with CRF are presented.
- Case 1: A 36-year-old female with a renal transplant experienced intra-retinal macular edema due to significant renal function impairment.
- Case 2: A 56-year-old male developed macular edema with papilledema the day after renal dialysis, which later resolved spontaneously.
Findings:
- Macular edema in CRF appears to be associated with impaired renal function and potentially renal dialysis.
- The underlying mechanism may involve alterations in osmotic pressure.
Implications:
- These cases highlight the importance of monitoring for ocular complications in patients with chronic renal failure.
- Further research into the relationship between renal dialysis, osmotic shifts, and macular edema is warranted.