Twenty-Four-Hour Intraocular Pressure Monitoring in Normotensive Patients Undergoing Chronic Hemodialysis

Panagiotou, Evangelia S; Liakopoulos, Vassilios; Giannopoulos, Theodoros; Voudouragkaki, Irini C.; Demirtzi, Paraskevi; Paschalinou, Eleni; Nikitidou, Olga; Kapis, Paraskevas; Konstas, Anastasios G. P.

doi:10.5301/ejo.5000651

Cited by 3 publications

(2 citation statements)

References 51 publications

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“…1 Although hemodialysis is a simple and effective procedure, yet it may lead to multisystem impairments, including many ocular complications. 2 A wide range of ocular involvement has been found in patients with CKD on hemodialysis, such as dryness, conjunctival calcium deposition, band keratopathy, corneal endothelial cell impairment, changes in intraocular pressure (IOP), lenticular opacities, macular or retinal alterations and choroidal thickness changes. It is not known if these complications are caused solely by hemodialysis or a result of chronicity of renal failure.…”

Section: Introductionmentioning

confidence: 99%

WITHDRAWN: The effect of longterm hemodialysis in chronic kidney disease on macular and optic nerve head vasculature as detected by OCTA

Marrie

ElShazly

Salama

2022

Preprint

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Background: The relation between the kidney disease and the eye has always been a subject of interest, their anatomical, developmental and genetic similarity, suggests the link between the kidney and eye diseases, also they share the same predisposing factors like diabetes, hypertension, oxidative stress and smoking. Chronic kidney disease is one of the known causes of retinopathyPurpose: To evaluate the effect of duration of longterm hemodialysis in chronic kidney disease (CKD) patients on the macular and optic nerve vasculature using optical coherence tomography angiography (OCTA). Methods: This cross-sectional observational study included 36 eyes of 36 patients with CKD on longterm hemodialysis of different durations of onset. We correlated the vessel density in the macula in the superficial capillary plexus (SCP) and deep capillary plexus (DCP) and optic nerve head in the radial peripapillary capillary plexus (RPC) using OCTA to the duration of onset of longterm hemodialysis in these patients and to their laboratory findings as urea reduction ratio, urea level, creatinine and blood pressure.Results: Mean duration of hemodialysis was 6.11± 2.93 years. A negative correlation between the duration of hemodialysis and vessel density of the macular SCP and DCP and optic nerve head RPC, with statistical significance in SCP in PeriFoveal section (p, 0.045), RPC Inside Disc (p, 0.022) and in the RPC average Peripapillary area (p, 0.049). The correlation between the vessel density and the URR was positive, and with statistical significance in the SCP in PeriFoveal section, RPC average Peripapillary and Inside disc vessel density but a negative correlation has been found between the URR and the DCP Parafoveal section with no statistical significance.Conclusion: The macular SCP and DCP vessel density and optic nerve head RPC vessel density decrease with increase in the duration of longterm hemodialysis in chronic kidney disease (CKD) patients.

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Section: Introductionmentioning

confidence: 99%

WITHDRAWN: The effect of longterm hemodialysis in chronic kidney disease on macular and optic nerve head vasculature as detected by OCTA

Marrie

ElShazly

Salama

2022

Preprint

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“…Furthermore, there is lack of large-scale studies, and the existing evidence is conflicting. While some reports found a significant IOP rise during haemodialysis, 3 , 4 others showed no change 5 , 6 or even reduction of IOP post dialysis. 7…”

Section: Introductionmentioning

confidence: 95%

A complex case of haemodialysis induced increased intraocular pressure

Babiker

Elsayed

Dhaygude

et al. 2019

European Journal of Ophthalmology

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Purpose: To describe a case of intraocular pressure fluctuation during haemodialysis in a patient with previously treated proliferative diabetic retinopathy and previous unilateral angle neovascularisation. Case description: A 63-year-old male with end-stage renal disease on maintenance haemodialysis and recurrent episodes of symptomatic intraocular pressure rise during dialysis sessions. Higher intraocular pressure spikes occurred in the eye with previous angle new vessels. Outcome: Topical antihypertensive drops failed to control the intraocular pressure. Due to multiple co-morbidities, options of medical management were deemed unsuitable; those included intravenous mannitol, systemic acetazolamide and intravenous glucose. Furthermore, modifications of his dialysis prescription did not lead to satisfactory results. As a consequence, the patient underwent trabeculectomy with mitomycin C. Adequate control of his intraocular pressure was achieved post-operatively. Conclusion: Intraocular pressure fluctuations during haemodialysis are not fully understood, and management can be quite challenging to the treating ophthalmologists and nephrologists. In this case report, we discuss some of those difficulties and different treatment options.

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Intraocular pressure, eye pain and hemodialysis

Козина

Balashova

Ivliev

2022

Rossijskij oftalʹmologičeskij žurnal

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The review presents data on the effect of program hemodialysis on the state of intraocular pressure in patients with terminal chronic renal failure. Treatment with hemodialysis is accompanied by various effects: from intraocular pressure drop to the development of ophthalmic hypertension with pain syndrome. The state of the iris-corneal angle, neovascularization of the structures of the eye drainage system and the presence of glaucoma are significant, but not indisputable, risk factors for pain-related dialysis ophthalmic hypertension. Their combination with the effect on the osmolar balance of dialysis therapy increases the possibility of the formation of ocular hypertension syndrome formation. The need to eliminate dialysis eye pains and the chance of glaucoma progression due to dialysis-affected fluctuations of intraocular pressure remains relevant.

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Twenty-Four-Hour Intraocular Pressure Monitoring in Normotensive Patients Undergoing Chronic Hemodialysis

Abstract: This prospective, before/after trial suggests that HD significantly impacts 24-hour IOP characteristics in normotensive eyes. The long-term significance of these findings requires further elucidation in normotensive patients and, predominantly, in patients with glaucoma undergoing HD.

Cited by 3 publications

References 51 publications

WITHDRAWN: The effect of longterm hemodialysis in chronic kidney disease on macular and optic nerve head vasculature as detected by OCTA

WITHDRAWN: The effect of longterm hemodialysis in chronic kidney disease on macular and optic nerve head vasculature as detected by OCTA

A complex case of haemodialysis induced increased intraocular pressure

Intraocular pressure, eye pain and hemodialysis

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