Abstracto

Retinal lesion on optical coherence tomography angiography (octa) of hemodialysis patients with diabetes mellitus.

Vu Tuan Anh, Pham Trong Van, Le Anh Tam, Nhung Ta Thi Kim, Xuan Le Thi Thanh

Purpose: To describe the retinal lesion features among patients with diabetes mellitus on hemodialysis at the central Bach Mai hospital. Materials and methods: An observational study was applied, 44 eyes of 23 diabetes patients with hemodialysis was recruited. Data was collected including personal information, routine eye examination, taking color fundus photography, OCT, OCTA to find out the retinal lesions. Results: The average age of study participants was 62.9 ± 8.9. 56.6% were male, the average duration of diabetes was 16.73 ± 8.32 years; the majority of eyes with vision impairment accounted for 68.2%; the prevalence of eyes with macular edema were 27.3%; central retinal thickness measured on average OCTA was 256.63 ± 125.83 µm; 9/44 eyes have anemia (ischemia) on OCTA image. Conclusion: The retinal damage of diabetic patients on hemodialysis was severe. It is important to take the retinal examination with OCTA routinely can help diagnose, detect the retina lesions and prevent severe eye complications.