DR. SURABHI BENIWAL

DR. ROHIT KUMAR GUPTA

Abstract

Purpose: To correlate HTN retinopathy grading with severity of CKD in 100 clinically diagnosed cases.

Method: A cross sectional observational study was conducted on 100 clinically diagnosed CKD patients. Staging of CKD was based on Cockroft – Gault on GFR levels. Staging of HTN retinopathy was based on Keith, Wagner and Barker classification.

Results: Grade 4 HTN retinopathy was seen in 13% of patients with 11% in stage 5 CKD, 20% in stage 4 CKD, 19% in stage 3 CKD. Grade 3 HTN retinopathy was seen in 50% , 71% in stage 5 CKD, 33%in stage 4, 19% in stage 3,22% in stage 2 CKD. Grade 2 HTN retinopathy was seen in 36% with 78% in stage 2 CKD, 57% in stage 3 CKD, 47% in stage 4 CKD, 18% in stage 5 CKD. Grade 1 HTN retinopathy was seen in 5% in stage 3 CKD only.

Conclusion: Prevalence of HTN retinopathy in CKD is statistically significant and hence regular fundoscopy of CKD patients in important in evaluating severity of CKD.