[Retinal complications in diabetics with renal failure]

The following conclusion, are based on this series of 27 patients, all diabetics with end-stage renal failure: All, except one, with both diabetes and nephropathy exhibited retinopathy. Retinopathy, its severity and the prevalence of complications are primarily related to the evolution of diabetes, whatever the type and severity of the nephropathy, and independent of the presence or severity of hypertension. Good glycemia control did not induce efficient prevention of retinopathy. In insulin-dependent diabetic patients, the type of insulin used had no influence on the evolution or severity of the retinopathy. The duration of diabetes and the beginning in childhood are the major factors for complications risks.