目的 观察尿毒症患者眼部症状和体征,分析与年龄、透析龄及肾功能的关系.方法 对我院血透室进行血液透析的尿毒症患者30例58只眼进行眼科问诊和检查,包括主诉、视力、裂隙灯及眼底.结果 30例尿毒症患者58只眼中,15例22只眼睑裂部的球结膜和(或)角膜缘处有灰白色斑块(转移性钙沉积),位于球结膜血管之上,其中部分患者有周围球结膜充血及球结膜血管扩张,少部分患者其周围还有色素沉着.有钙沉积的患者年龄为48 ～74岁,无钙沉积的患者年龄为46 ～83岁.有钙沉积患者与无钙沉积患者的透析龄均为0.5 ～20年.58只眼中,35只眼底动脉硬化.结论 尿毒症患者睑裂部球结膜和(或)角膜缘有转移性钙沉积,并且转移性钙沉积与年龄、透析龄无关,与肾功能关联性不大.%Objective To observe the phenotype and ocular symptom of patients with uremia, analyze the correlation with patient s age,time of hemodialysis and renal function. Methods 58 eye samples of 30 patients with uremia receiving hemodialysis from our hospital were selected; diagnosis and check on the eyes, including self-complaints, vision, slit lamp and fundus were done. Results Among the 58 eyes of 30 patients, only 15 patients with 22 eyes had grey patches( metastatic calcium deposits ) above the vessels of the pinguecula conjunctiva and/or corneal limbus, among whom some experienced surrounding conjunctival congestion and conjunctival vessels hemangiectasis, and a small number had pigmentation in the surroundings. Patients with calcium deposits were aged between 48-74; and patients without calcium deposits were aged between 46-83. Hemodialysis time of the patients with or without calcium deposits were both 0. 5-20 years. A-mong the 58 eyes,35 had retinal arteriosclerosis. Conclusion Metastatic calcium deposits above the vessels of the pinguecula conjunctiva and/or corneal limbus of patients with uremia are irrelevant to their ages,total time of hemodialysis and renal function.
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