Eye Manifestations in Patients with Chronic Renal Failure not on Dialysis: A Report about 60 Cases

Objectives: The objective of this study was to describe eye manifestations encountered in patients with chronic renal failure who are not undergoing dialysis to ensure better management. Materials and methods: This was a cross-sectional and descriptive study, carried out from February 2017 to June 2017. The study was conducted jointly in the Nephrology and Ophthalmology departments of Yopougon University Hospital. It focused on patients with renal failure who were not on dialysis. A total of 60 patients were included with respect to the inclusion criteria of the study. Results: Patients' personal history was dominated by high blood pressure (88%) and diabetes (27%). Loss of visual acuity and pruritus were the most expressed symptoms at rates of 66.66% and 26%, respectively. Biomicroscopic examination of the anterior segment revealed unilateral cataract in 26.67% of cases. At the posterior pole, optic neuropathies were predominant (23.33%). Macular edema was 10%. Arterial narrowing (16.66%) was the most observed lesion in peripheral chorioretin. Hypertensive Retinopathy (HR) and Large Optic Disc Cupping (LODC) were the most common abnormalities found in the fundus examination, each observed in 43.75% of cases. We found no correlation between eye manifestations and Chronic Renal Failure (CRF). Discussion: There was no direct link between renal failure and eye lesions observed. Several factors explain eye signs, including hypertension and diabetes.