| Theme | Up-to-date renal replacement therapy for diabetic nephropathy -- Standardization and personalization | |
|---|---|---|
| Title | Prevention and management of eye diseases in diabetic dialysis patients | |
| Publish Date | 2014/01 | |
| Author | Tatsushi Kaga | Department of Ophthalmology, Social Insurance Chukyo Hospital |
| Author | Kazuo Ichikawa | Department of Ophthalmology, Social Insurance Chukyo Hospital |
| [ Summary ] | Since many diabetic (DM) dialysis patients are visually impaired, it is necessary we improve dialysis facilities and enhance the nursing system so that these systems can be accessible to these patients. Retinopathy in DM dialysis patients often stabilizes when they receive dialysis. If retinopathy is worsening, it is necessary to have discussions with patients' dialysis doctors concerning initiation of dialysis in order to prevent worsening retinopathy. Since retinopathy progression is seldom seen in DM dialysis patients after cataract surgery, it is desirable we perform cataract surgery on these patients. In DM dialysis patients who have no active retinopathy after long-term dialysis, it is necessary we minimize surgery to achieve optimum results. In such cases, outpatient surgery is desirable to maintain normal dialysis schedule. In dialysis patients with obstruction of aqueous humor outflow, disequilibrium syndrome increases inter ocular pressure (IOP). Because IOP decreases after dialysis, the patients should see an ophthalmologist as soon as possible after a dialysis treatment. The number of band keratopathy cases has declined in recent years, which can be attributed to provision of adequate dialysis therapy. However, chrorioretinal atrophy caused by microvascular vasoconstriction in long-term DM dialysis patients has become an issue. |
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