Dynamics of the State of the Eye Fundus of a Patient with Proliferative Diabetic Retinopathy and End-Stage Chronic Renal Failure after Hemodialysis (Clinical Case)

Abstract

Purpose. To analyze a clinical case on the study of the dynamics of the state of the fundus of a patient with proliferative diabetic retinopathy (PDR) and end-stage chronic renal failure (CRF) on the background of hemodialysis (HD).Patient and methods. A clinical case of the study of the state of the organ of vision against the background of HD in patient S., 36 years old, is presented. Hemodialysis was performed for 4 months using the Artis Surdial-55 device (Nipro, Japan) for 3.5–4 hours with a blood flow rate of 250 ml/min and a dialysis solution flow rate of 500 ml/min. The severity of PDR was assessed using standard methods based on ultrasound (Opticon 2000, Italy), photographic recording of the state of the eye fundus (Carl Zeiss Visucam 500, Germany) and OCT of the macular region (on an RTVue-100 tomograph, OptoVue, USA).Results and conclusion. Studies before and after a course of HD indicate no changes in the fundus, which is confirmed by the data of an objective examination.