Related Experiment Videos
[Eye fundus pathology in chronic terminal kidney failure]
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|April 1, 1979
Summary
Hypertension in chronic renal insufficiency correlates with eye fundus changes, particularly in advanced stages. Managing fluid balance and renal transplantation can improve these hypertensive retinopathy findings.
Area of Science:
- Nephrology
- Ophthalmology
Context:
- Investigated the relationship between renal hypertension from volume expansion and ocular fundus findings in 75 patients with chronic renal insufficiency.
- Examined patients across different stages of renal insufficiency, including compensated and terminal stages, as well as those undergoing hemodialysis and renal transplantation.
Purpose:
- To explore the correlation between renal hypertension and fundus changes in chronic renal insufficiency.
- To assess the impact of interventions like fluid balance regulation, hemodialysis, and renal transplantation on hypertensive retinopathy.
Summary:
- In compensated renal insufficiency, hypertension was common (20/23), but fundus changes were less frequent (approx. 1/3).
- In terminal chronic renal insufficiency (38 patients), hypertensive fundus findings were more prevalent (27/38).
- Fluid balance regulation in 38 hemodialysis patients led to normal fundus findings 11 times and improvements 15 times. Renal transplantation improved fundus findings in 13 patients.
Impact:
- Findings challenge traditional staging systems for hypertensive retinopathy in renal disease.
- Highlights the significance of fluid balance management and renal transplantation in mitigating ocular complications of renal insufficiency.