STUDY OF OCULAR MANIFESTATIONS IN PATIENT WITH CHRONIC KIDNEY DISEASE IN TERTIARY CARE RURAL HOSPITAL

Purpose: To study the occurrence of various ocular manifestations exhibited by patients with Chronic Kidney Disease(CKD) and to analyse the findings. Materials and Methods: An observational, cross sectional, descriptive study was conducted at a tertiary care hospital after the approval of ethical committee for duration of 1year (July 2022- July 2023). A total of 50 patients of all age group, either sex, diagnosed with CKD irrespective of the haemodialysis statuswere evaluated. Detailed history and examination including visual acuity, anterior segment andfundus examination with direct and indirect ophthalmoscope was conducted. Result:Majority of CKD cases were noted in the age group of more than 60 years (40%) with male predominance of 66%.Out of 50 cases, 13(26%) were hypertensives, 8(16%) were diabetics and 3 patients had both.Out of 50 patients,6(12%) and 13(26%) showed signs of hypertensive and diabetic retinopathy respectively. Retinal detachment was noted in 2 patients, one had signs of pathological myopia and vitreous hemorrhage was noted in 1 patient. Conclusion:Most patients of CKD are detected in advanced stages. Hence it becomes imperative to detect CKD at an early stageand retard the progress of renal disease. Eye can be used as a window to kidney status so that necessary treatment can be given before irreversible changes occur. Thus, early ocular screening is of utmost importance in such patients.