Diabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema

Diabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema

Eman Saeed Al Kahtani King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia Background: Kidney failure provoked by glomerulosclerosis leads to fluid filtration deficits and other disorders of kidney function. Refractory diabetic macular edema (DME) can be another warning sign of glomeruloscler...

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Autor principal: Al Kahtani ES
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/6848d73ecdf64ce28267364a6d39708e
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spelling oai:doaj.org-article:6848d73ecdf64ce28267364a6d39708e2021-12-02T07:06:45ZDiabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema1177-5483https://doaj.org/article/6848d73ecdf64ce28267364a6d39708e2015-05-01T00:00:00Zhttp://www.dovepress.com/diabetic-glomerulosclerosis-can-be-the-pathogenesis-of-refractory-diab-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Eman Saeed Al Kahtani King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia Background: Kidney failure provoked by glomerulosclerosis leads to fluid filtration deficits and other disorders of kidney function. Refractory diabetic macular edema (DME) can be another warning sign of glomerulosclerosis in diabetic patients. Case: A 40-year-old Saudi male presented with macular edema that was refractory to all possible medical and surgical ophthalmic interventions in both eyes. The macular edema significantly improved once the patient began systemic treatment for newly diagnosed diabetic glomerulosclerosis. This case report is presented with optical coherence tomography (OCT) documentation of before and after each medical and surgical intervention. Observations: Considerable improvement occurred after treatment with a systemic angiotensin-converting enzyme inhibitor and diuretic treatment due to newly diagnosed diabetic glomerulosclerosis. Conclusion: Refractory DME can be secondary to diabetic glomerulosclerosis. This case indicates the possibility that systemic intervention may be warranted in cases of refractory DME, and the importance of collaboration between ophthalmologists, endocrinologists, and internists in these cases. Keywords: angiotensin-converting enzyme inhibitor, diuretic, proteinuriaAl Kahtani ESDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 929-933 (2015)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Al Kahtani ES
Diabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema
description Eman Saeed Al Kahtani King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia Background: Kidney failure provoked by glomerulosclerosis leads to fluid filtration deficits and other disorders of kidney function. Refractory diabetic macular edema (DME) can be another warning sign of glomerulosclerosis in diabetic patients. Case: A 40-year-old Saudi male presented with macular edema that was refractory to all possible medical and surgical ophthalmic interventions in both eyes. The macular edema significantly improved once the patient began systemic treatment for newly diagnosed diabetic glomerulosclerosis. This case report is presented with optical coherence tomography (OCT) documentation of before and after each medical and surgical intervention. Observations: Considerable improvement occurred after treatment with a systemic angiotensin-converting enzyme inhibitor and diuretic treatment due to newly diagnosed diabetic glomerulosclerosis. Conclusion: Refractory DME can be secondary to diabetic glomerulosclerosis. This case indicates the possibility that systemic intervention may be warranted in cases of refractory DME, and the importance of collaboration between ophthalmologists, endocrinologists, and internists in these cases. Keywords: angiotensin-converting enzyme inhibitor, diuretic, proteinuria
format article
author Al Kahtani ES
author_facet Al Kahtani ES
author_sort Al Kahtani ES
title Diabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema
title_short Diabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema
title_full Diabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema
title_fullStr Diabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema
title_full_unstemmed Diabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema
title_sort diabetic glomerulosclerosis can be the pathogenesis of refractory diabetic macular edema
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/6848d73ecdf64ce28267364a6d39708e
work_keys_str_mv AT alkahtanies diabeticglomerulosclerosiscanbethepathogenesisofrefractorydiabeticmacularedema
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