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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Kidney Transplant II: Surgical Procedure01:26

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Kidney Structure01:45

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The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
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Muscles of the Eye01:20

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The muscles of the eye are sophisticated structures that control eye movement and focus, allowing for the precise and rapid adjustments necessary for vision. The human eye is controlled by ten muscles — six extraocular muscles, three intraocular muscles, and one primary eyelid retractor muscle.
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The kidneys are a pair of bean-shaped organs in the human body that play a critical role in maintaining overall health. They filter out waste products from the blood, regulate blood pressure, maintain electrolyte balance, and stimulate the production of red blood cells.
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Eye Problems in Patients on the Active and Inactive Kidney Transplantation Waiting List.

P Krasnicki1, J Malyszko2, J S Małyszko3

  • 1Department of Ophthalmology, Medical University, Bialystok, Poland.

Transplantation Proceedings
|July 31, 2018
PubMed
Summary

Eye problems are common in patients awaiting kidney transplants, often linked to underlying conditions. While ophthalmology evaluations are standard, most vision issues do not disqualify patients from receiving a new kidney.

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Area of Science:

  • Nephrology and Ophthalmology
  • Renal disease and transplantation
  • Ophthalmological complications

Background:

  • End-stage renal disease (ESRD) necessitates renal replacement therapy, with transplantation being the optimal treatment.
  • Patients with ESRD often present with comorbidities affecting various organ systems, including the eyes.
  • Pre-transplant ophthalmological evaluation is crucial for assessing patient suitability and potential surgical risks.

Purpose of the Study:

  • To determine the prevalence of eye problems in patients on the kidney transplantation waiting list.
  • To investigate the association between ophthalmological abnormalities and patient status (active vs. temporarily disqualified) on the waiting list.
  • To understand the relationship between underlying renal disease and observed eye conditions in ESRD patients.

Main Methods:

  • A cross-sectional study involving 90 prevalent patients on a kidney transplantation waiting list.
  • Data collection included patient demographics, dialysis status, duration of dialysis, primary cause of renal failure, and ophthalmological findings.
  • Patients were categorized based on their status on the waiting list (active or temporarily disqualified).

Main Results:

  • Ophthalmological abnormalities were prevalent, with hypertensive angiopathy (56 patients) and cataracts (10 patients) being common.
  • Diabetic retinopathy was observed in 8 patients, and other visual impairments affected several others.
  • Abnormalities were more frequent in patients on the temporarily disqualified list, though most vision issues were not exclusion criteria.

Conclusions:

  • Ophthalmological disturbances are common in ESRD patients awaiting kidney transplantation, largely stemming from underlying systemic diseases.
  • The presence of eye conditions, while noted during qualification, rarely leads to disqualification for transplantation.
  • Routine ophthalmological assessment is an integral part of the pre-transplant evaluation process for ESRD patients.