How Can I Cope with Losing Eyesight While Having Uremia?

Uremia is a syndrome composed of a series of clinical manifestations that occur when chronic kidney failure enters the terminal stage. It is relatively rare for uremia patients to suffer from blindness, but such patients may experience symptoms such as decreased vision, abnormal limb sensation, and anemia. The main reasons include toxins, cardiovascular diseases, uremic encephalopathy, and infection. Once diagnosed with uremia, treatment should be started as soon as possible to avoid delaying the condition.

1. Toxins: Metabolic substances such as urea and creatinine in uremia patients may accumulate in the body, leading to an increase in blood urea content. After absorption of these substances, patients may experience electrolyte imbalance and even acid-base imbalance, which can induce blindness in uremia patients. Treatments include hemodialysis, peritoneal dialysis, and kidney transplantation.

2. Cardiovascular diseases: Uremia patients often suffer from hypertension, heart failure, and other diseases, which are more likely to cause retinal lesions such as retinal detachment, leading to blindness. Calcium channel blockers such as nifedipine or vasodilators such as alprostadil can be used under the guidance of a doctor.

3. Uremic encephalopathy: Uremia patients are prone to neurological damage symptoms such as consciousness disorders and lethargy. When the nervous system is damaged, blindness may occur. Diuretics such as furosemide and mannitol, or drugs to correct acidosis such as sodium bicarbonate, can be used under the guidance of a doctor.

4. Infection: Uremia patients usually have low resistance. When infected, they may experience symptoms such as fever, which can severely induce kidney failure and blindness. If caused by bacterial infection, antibiotics such as cefradine and amoxicillin can be used under the guidance of a doctor. If caused by viral infection, antiviral drugs such as acyclovir can be used.