Unilateral Symptomatic Elevation of Intraocular Pressure and Prevention Using a Hyperosmotic Agent During Hemodialysis

Ikeda, Nariko; Saito, Takao; Hayasaka, Seiji; Hayasaka, Yoriko

doi:10.1016/s0021-5155(01)00408-7

Cited by 10 publications

(11 citation statements)

References 7 publications

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“…Five articles presented the findings in only one case. During the last 5 years, four articles [9][10][11][12] were published in the ophthalmic and nephrologic literature presenting the findings of acute IOP rise in single HD patients.…”

Section: Number Of Patientsmentioning

confidence: 99%

Intraocular pressure during haemodialysis: a review

Levy

Tovbin

Lifshitz

et al. 2004

Eye

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Objectives Although several works in the past have examined the effect of haemodialysis (HD) on intraocular pressure (IOP), reported findings, theories, and conclusions are very different. The objectives of this article are to resume the reported evidence of IOP changes during HD, to review the proposed hypothesis of HD influence on IOP, and to determine if ophthalmic examination is imperative in HD patients. Methods We analysed the peer-reviewed English literature and selected all possible relevant articles. Results The influence of HD on IOP is not clear, and even in recent studies opposite findings can be found. Conclusions Future studies are needed to clarify the effects of HD on IOP. In patients with glaucoma or with predisposed narrow angles, or eyes with impaired aqueous outflow, the possibility of acute IOP rise during HD could be much more frequent than in normal patients. So in these patients, a more strict ophthalmic scheduled examination seems to be feasible.

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Section: Number Of Patientsmentioning

confidence: 99%

Intraocular pressure during haemodialysis: a review

Levy

Tovbin

Lifshitz

et al. 2004

Eye

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“…It has been reported in patients without glaucoma1-6 and also in patients suffering from glaucoma 7-8. Jung et al5 found IOP elevation after hemodialysis in Korean nonglaucomatous patients.…”

Section: Discussionmentioning

confidence: 95%

“…Headache, nausea and fatigue sometimes develop in combination with the rise in intraocular pressure (IOP). An intradialytic increase in IOP was already reported in patients without glaucoma,1-6 and marked IOP increases had been shown in patients suffering from glaucoma 7-8. The mechanism that has been most widely proposed for this IOP increase is the movement of water from the plasma into the aqueous humour due to an osmotic disequilibrium between the two compartments caused by a rapid decrease in plasma osmolarity 1-4…”

mentioning

confidence: 93%

Recurrent Intraocular Pressure Elevation During Hemodialysis in a Patient with Neovascular Glaucoma

Song

Yeom

et al. 2006

Korean J Ophthalmol

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PurposeTo report a patient with symptomatic intraocular pressure (IOP) elevation in an eye with neovascular glaucoma (NVG) during hemodialysis.MethodsCase report.ResultsRecurrent episodes of severe ocular pain and elevated IOP in the NVG eye were noted during hemodialysis in a 29-year-old man. The patient was recently diagnosed at our ophthalmology clinic with NVG due to central retinal vein occlusion. IOP was temporarily controlled after the Ahmed valve implantation. However, after the fibrous membrane developed and occluded the tip of the Ahmed valve, IOP elevation during hemodialysis recurred. Further treatments with intravenous mannitol, oral carbonic anhydrase inhibitor, topical antiglaumatic agents and subconjunctival 5-fluorouracil (5-FU) injections all failed to control relapsing pain and IOP elevation. Eventually, evisceration and hydroxyappatite implantation were performed.ConclusionsPhysicians must be alert to the possibility of IOP elevation in glaucomatous eyes during hemodialysis.

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“…1 Reports of IOP rise during HD in neovascular 2,3 and pseudo-exfoliative glaucoma are extremely limited. 4,5 Mechanisms for elevated IOP during HD are unclear; some authors propose that reduced plasma osmolality causes increased aqueous humour production and potential to elevate IOP. 3 Normal eyes may increase outflow to compensate.…”

Section: Commentmentioning

confidence: 99%

“…Other reported strategies include cyclodiode, 3 filtration surgery, 2 adjusted HD including a hyperosmotic agent 5 or eviscerating treatment-resistant cases. 2 Clinicians must recognise that IOP may rise intolerably during HD in glaucoma patients.…”

Section: Commentmentioning

confidence: 99%