Intraocular Pressure Change During Hemodialysis

Doshiro, Aya; Ban, Yuriko; Kobayashi, L.; Yoshida, Yusuke; Uchiyama, Hitoji

doi:10.1016/j.ajo.2006.03.017

Cited by 21 publications

(29 citation statements)

References 4 publications

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“…previously published studies appear inconsistent [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][23][24][25][26][27]. This may be attributed to the methodological differences, such as different exclusion criteria, variable sample size and different tonometry techniques and possibly due to significant technical progress in the HD procedure itself over the years [28].…”

Section: Association Of Iop and Hd-clinical Studiesmentioning

confidence: 81%

Intraocular pressure changes during hemodialysis

et al. 2015

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The response of intraocular pressure (IOP) to hemodialysis procedure has been a subject of research throughout many decades. Several studies that evaluated the impact of hemodialysis (HD) on IOP have reported conflicting results and have drawn varied conclusions. Some studies have described an IOP elevation during HD, a finding they attributed to the osmotic disequilibrium between serum and aqueous humor induced by the HD procedure, especially when the facility of the outflow system is already compromised. On the other hand, several studies have reported a significant IOP decrease during HD. The majority of these studies supported the notion that the increase in plasma colloid pressure induced by fluid removal during the HD session is the underlying cause of decreased IOP. Finally, recent investigations did not establish a significant change in IOP measurements during HD. They have therefore suggested that improved dialysis techniques, such as high-flux HD, or hemofiltration and better urea control, maintain better osmolar balance and prevent a marked IOP elevation. Nevertheless, specific preventive measures are still necessary in HD patients with ocular pathologies (e.g., glaucoma) whose vision may be adversely influenced by significant IOP fluctuation.

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Section: Association Of Iop and Hd-clinical Studiesmentioning

confidence: 81%

Intraocular pressure changes during hemodialysis

et al. 2015

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“…Hemodialysis vascular resistance can change because of the rheological properties of the arterial, so this can change arterial pressure. But in this research the results have considered these properties as many other researches (29,32) . Ultimately, in this research, 8% of the patients had hypertension and they were using medications for this disease.…”

Section: Discussionmentioning

confidence: 99%

“…However, some patients showed a change in intraocular hypertension during the second hour of HD. Some studies have speculated that the IOP in glaucoma patients during HD would increase because of impaired outflow facility (29) ; or because glaucoma patients show abnormal autoregulation (31) . The reasons for abnormal autoregulation in this disease are largely unknown, but there is evidence that reducing IOP improves autoregulation in glaucoma patients (31) .…”

Section: Discussionmentioning

confidence: 99%

“…Many studies were developed to evaluate whether HD induces considerable changes in the IOP (28) . Doshiro et al, evaluated the change in IOP during HD and determined that the IOP significantly decreased during HD (29) . Some studies have reported that the hypotension following dialysis could cause ischemic optic neuropathy (AION) both in children and adults.…”

Section: Discussionmentioning

confidence: 99%

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Intraocular pressure and ocular perfusion during hemodialysis

Barbosa¹,

Stefanini²,

Penha³

et al. 2011

Arq. Bras. Oftalmol.

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RESUMO Descritores: Diálise renal; Insuficiência renal crônica; Pressão intraocular; Glaucoma ABSTRACTAim: To evaluate the intraocular pressure and ocular perfusion pressure during a hemodialysis. Methods: Sixty-seven eyes from thirty-five patients were evaluated at the beggining of hemodialysis, 2 hours and 4 hours after initiation. Intraocular pressure was evaluated using a Tonopen. Systolic and diastolic arterial pressures were measured with a manual sphygmomanometer. The ocular perfusion pressure was estimated by measuring the difference between 2/3 of the mean arterial pressure and the intraocular pressure values. Generalized estimating equations were used to evaluate the difference between the repeated measurements using the appropriate correction for inter-eye dependency. Results: There was no statistically significant difference in ocular perfusion pressure, in intraocular pressure (p=0.93) and in systolic arterial pressure (p=0.92) at the three time points (p=0.69). But, when analyzing the extreme values, some patients exhibited lower diastolic perfusion pressures at all time points. Conclusion: Our results did not support the view that significant changes in ocular perfusion pressure and intraocular pressure occur during hemodialysis session. However, we observed that some patients exhibited lower diastolic perfusion pressures, which could be a poor prognostic factor for glaucoma patients.

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“…However, various studies have shown different and conflicting findings; many indicate that it may increase, [8][9][10][11][12] some indicate that it does not change, 13,14 and some indicate that it even decreases. 15,16 Levy et al 17 performed a systematic review in 2005, and concluded that the influence of haemodialysis on IOP was still unclear. They suggested that further studies need to be performed.…”

Section: Introductionmentioning

confidence: 99%

Effect of haemodialysis on intraocular pressure

Samsudin

Mimiwati

Soong

et al. 2009

Eye

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Aims To study the effect of haemodialysis on intraocular pressure (IOP) of patients at the University Malaya Medical Centre, Kuala Lumpur, and the influence of anterior chamber angles, surgery, and diabetes on the change in IOP after haemodialysis. Methods Prospective, single centre study on patients undergoing haemodialysis with a sample size of 98 eyes (49 patients). Ocular examination was performed before haemodialysis. Pre-and post-haemodialysis IOP measurements were taken. Plasma osmolarity changes and volume of fluid removed were noted. Patients on antiglaucoma treatment or who have had earlier laser or surgical procedures for it were excluded. Student's t-test and Pearson's coefficient test were used to determine the statistical significance. Results Plasma osmolarity decreased significantly (À11.6 ± 10.0mOsm/l, Po0.001). In eyes with occludable angles (8% of cases), IOP decreased significantly (À3.63 ± 1.92 mmHg, Po0.001). In non-occludable angle eyes (92% of cases), no significant changes (P40.05) in all subgroups of non-operated/operated and diabetic/ non-diabetic eyes were seen. Conclusions Haemodialysis does not cause significant changes in IOP in non-glaucomatous and non-occludable angle eyes.

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Intraocular Pressure Change During Hemodialysis

Cited by 21 publications

References 4 publications

Intraocular pressure changes during hemodialysis

Intraocular pressure changes during hemodialysis

Intraocular pressure and ocular perfusion during hemodialysis

Effect of haemodialysis on intraocular pressure

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