|LETTER TO THE EDITOR
|Year : 2014 | Volume
| Issue : 6 | Page : 752
Course of diabetic retinopathy before and after renal transplantation
Minal Kaur, Ramesh Venkatesh, Manisha Agarwal, Rahul Mayor
Department of Vitreo Retina, Dr. Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India
|Date of Web Publication||8-Jul-2014|
Dr Ramesh Venkatesh
Department of Vitreo Retina, Dr Shroff's Charity Eye Hospital, 5027,Kedarnath Road, Daryaganj, New Delhi - 110 002
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Kaur M, Venkatesh R, Agarwal M, Mayor R. Course of diabetic retinopathy before and after renal transplantation. Indian J Ophthalmol 2014;62:752
|How to cite this URL:|
Kaur M, Venkatesh R, Agarwal M, Mayor R. Course of diabetic retinopathy before and after renal transplantation. Indian J Ophthalmol [serial online] 2014 [cited 2019 Oct 19];62:752. Available from: http://www.ijo.in/text.asp?2014/62/6/752/136305
We read with interest the article titled "The effects of renal transplantation on diabetic retinopathy: Clinical course and visual outcomes." 
We would like to comment on a few observations we made on reading this article.
- We are all aware that a good metabolic control plays a vital role in the slow progression of diabetic retinopathy. There are other risk factors like lipid profile, blood sugar levels, hemoglobin, and blood pressure, which too would have an effect on the progression of the diabetic retinopathy. However, in this article, the metabolic status of the patients before and after renal transplantation has not been mentioned ,
- The second observation is that the status of the diabetic macular edema has not been mentioned before and after renal transplantation, which would have maximum correlation with the improvement in visual acuity post renal transplantation
- Furthermore, documentation with color fundus photographs would have made the grading of diabetic retinopathy more objective and avoided subjective variation
- The improvement in diabetic retinopathy has not been defined, and the number of patients in each follow-up quartile of the study is not mentioned.
It is an interesting observation made in this study of the role of renal transplantation on progression of diabetic retinopathy. However, a prospective study with all metabolic parameters defined and color fundus photographs documentation would be more valuable.
| References|| |
Roy R, Das MK, Pal BP, Ganesan S, Raman R, Sharma T. The effects of renal transplantation on diabetic retinopathy: Clinical course and visual outcomes. Indian J Ophthalmol 2013;61:552-6.
Mittal NS, Bajwa GS, Sandhu JS. Diabetic retinopathy before and after renal transplantation: A longitudinal study. Transplant Proc 2005;37:2077-9.
Liu Y, Wang M, Morris AD, Doney AS, Leese GP, Pearson ER, et al.
Glycemic exposure and blood pressure influencing progression and remission of diabetic retinopathy: A longitudinal cohort study in GoDARTS. Diabetes Care 2013;36:3979-84.