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العنوان
OCULAR CHANGES IN PEDIATRIC
CHRONIC RENAL DISORDERS.
الناشر
Ain shams.Medicine.Pediatrics.
المؤلف
EL-SOBKI, MERVAT EL-REFAI
هيئة الاعداد
باحث / MERVAT EL-REFAI EL-SOBKI
مشرف / MOHAMED SALAH EL-DIN FAHIM
مشرف / MOHAMED HISHAM MOHAMED EZZAT
مشرف / MOHAMED ABDEL- GHANI BADR
تاريخ النشر
2001
عدد الصفحات
269 P
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب (متفرقات)
تاريخ الإجازة
1/1/2001
مكان الإجازة
جامعة عين شمس - كلية الطب - طب اطفال
الفهرس
Only 14 pages are availabe for public view

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Abstract

The present study was carried out at the Pediatric Nephrology Unit, Children’s Hospital, Ain Shams University during the period from December 1999 till May 2000. It included 50 patients with nephrotic syndrome (40 patients were on steroid treatment and 10 patients were stopped steroids). It also included 71 patients with CRF (21 patients on conservative treatment and 50 patients on maintenance HD).

In this study, we attempted to assess the possible ocular changes that might affect patients suffering from chronic renal diseases.

Cataracts was found in 10% of patients with nephrotic syndrome , in 12% of patients with CRF on maintenance HD, and in 4.7% of CRF patients on conservative treatment. Conjunctival and limbal calcification was detected in 6% of CRF patients on maintenance HD. Glaucoma was detected in 4.7% of CRF patients on conservative treatment.

Recurrent infection was found in 12.5% of nephrotic patients on steroid treatment. Phlycten was found in 2.5% of those patients.

Decreased visual acuity was found in 15% of nephrotic patients, 30% of CRF patients on maintenance HD, and in 14.2% of patients on conservative treatment.

It could be concluded from our study that patients with chronic renal diseases are at increased risk of ocular affection likelihood cataracts, recurrent infections, and corneal calcification.

It also emphasizes that all uraemic patients under dialysis or having steroid treatment for a long period must have a periodic ophthalmologic examination for early detection of ocular complications and thus early treatment before it might be irreversible.