Aim-To evaluate the effects of haemodialysis on macular oedema by fluoresce
in angiography in patients with diabetic retinopathy and end stage renal di
sease.
Methods-In this prospective study, fluorescein angiography was performed on
40 eyes of 22 non-insulin dependent diabetic patients with end stage renal
disease just before (baseline) and 4 weeks after the beginning of haemodia
lysis. The change of macular leakage was determined by evaluating the same
phase of the angiograms.
Results-Fluorescein angiograms obtained at 4 weeks showed that macular leak
age was unchanged in 28/40 eyes (70%), decreased in 4/40 eyes (10%), and in
creased in 8/40 eyes (20%) when compared with the baseline appearance.
Conclusions-These results indicate that haemodialysis does not benefit macu
lar leakage in diabetic patients receiving haemodialysis for end stage rena
l disease.