Chinese Journal of Tissue Engineering Research ›› 2010, Vol. 14 ›› Issue (31): 5713-5716.doi: 10.3969/j.issn.1673-8225.2010.31.004

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Effect of preoperative dialysis time on ocular complications in renal transplant recipients

Zhang Di1, Shang Wen-jun2, Feng Gui-wen2, Wang Li-ya1   

  1. 1 Henan Eye Institute, Zhengzhou  450003, Henan Province, China; 2 Department of Kidney Transplantation, First Affiliated Hospital of Zhengzhou University, Zhengzhou  450052, Henan Province, China
  • Online:2010-07-30 Published:2010-07-30
  • Contact: Shang Wen-jun, Attending physician, Department of Kidney Transplantation, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China shangwj111@163.com
  • About author:Zhang Di☆, Doctor, Attending physician, Henan Eye Institute, Zhengzhou 450003, Henan Province, China reedzhang79@yahoo.com.cn

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Abstract:

BACKGROUND: The ocular complications in renal transplant recipients are concerned with the age, primary diseases, accumulation of the toxic substances in vivo and long-term application of the immune depressant. It is to be authenticated the effect of preoperative dialysis time on ocular complications in renal transplant recipients.
OBJECTIVE: To study the effect of preoperative dialysis time on ocular complications in renal transplant recipients.
METHODS: Clinical data of 159 patients underwent renal transplantation were analyzed, including 108 male and 51 female, aged (40.3±8.7) years. The duration of renal transplantation was (3.8±2.1) years, and the time of preoperative dialysis was (2.7±1.9) years. There were 81 patients with cadaveric renal transplantation and 78 patients with living related renal transplantation. The relationship between the preoperative dialysis time and ocular complications after renal transplantation was investigated by chi-square criterion. 
RESULTS AND CONCLUSIONS: There were 83 patients (52.2%) who had at least one ocular complication. There was no obvious abnormality in the rest 76 patients (47.8%). The most frequent ocular complication was pinguecula and conjunctival degeneration (33.3%), subsequent to catatact (26.3%), which showed a posterior capsule opacification. Four patients (3.5%) with glaucoma were open angle glaucoma. The examination of visual field showed paracentral scotoma for 1 patient, arcuate scotoma for 2 patients and nasal step for 1 patient. Preoperative dialysis time had a significant effect on the incidence of glaucoma in renal transplant recipients, the longer dialysis time results in high incidence rate.

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