First Author: R.Takada JAPAN
Co Author(s): A. Fukushima
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To report the improvement in diabetic macular oedema after haemodialysis (HD) initiation using spectral domain optical coherence tomography (OCT).
A 67-year-old female with non-insulin-dependent diabetes mellitus and end-stage renal disease (ESRD) had diabetic macular oedema in the right eye. She underwent panretinal photocoagulation and received several intravitreal ranibizumab injections in both eyes when diabetic macular oedema in the left eye disappeared.
We measured the best-corrected visual acuity (BCVA) and central retinal thickness (CRT) using OCT before and after HD initiation.
In November 2016, macular oedema in the right eye remained and the CRT was 287 μm. With the progression of ESRD, the CRT increased to 583 μm and macula oedema expanded in January 2017. HD was initiated on 1 February 2017. After 3 weeks, the CRT decreased to 189 μm and macular oedema disappeared. Decimal BCVA before and after HD initiation was 0.4 and 0.5, respectively.
The effect of HD on diabetic macular oedema is unclear. We presented the case of diabetic macular oedema in a patient with ESRD that improved after HD initiation. This suggests that the systemic overflow of bodily fluids improved due to HD initiation that led to the disappearance of diabetic macular oedema.