Visual Impairment After Haemodialysis

Maio, Tiago; Lemos, José A.; Moreira, Jorge; Sampaio, Filipa; Pereira, Sara

doi:10.1080/01658107.2018.1471093

Cited by 2 publications

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…48,74 This is consistent with reports of patients receiving hemodialysis with dialysis-induced hypotension and co-existing anemia developing ION. [76][77][78] As mentioned previously (Section 3.1.4), prolonged proning causes peri-orbital edema with elevation of orbital venous pressures, exacerbated with high volume fluid resuscitation. 71,74 The use of vasopressors in the treatment of hypotension in intensive care may cause vasoconstriction and vasospasm of ophthalmic and ciliary vessels compromising optic nerve blood flow.…”

Section: Ischemic Optic Neuropathymentioning

confidence: 99%

Ocular Complications in the Prone Position in the Critical Care Setting: The COVID-19 Pandemic

Sanghi

Malik

Hossain

et al. 2020

J Intensive Care Med

View full text Add to dashboard Cite

Purpose: Ocular complications are common in the critical care setting but are frequently missed due to the focus on life-saving organ support. The SARS-CoV-2 (COVID-19) pandemic has led to a surge in critical care capacity and prone positioning practices which may increase the risk of ocular complications. This article aims to review all ocular complications associated with prone positioning, with a focus on challenges posed by COVID-19. Materials and Methods: A literature review using keywords of “intensive care”, “critical care”, “eye care”, “ocular disorders”, “ophthalmic complications,” “coronavirus”, “COVID-19,” “prone” and “proning” was performed using the electronic databases of PUBMED, EMBASE and CINAHL. Results: The effects of prone positioning on improving respiratory outcomes in critically unwell patients are well established; however, there is a lack of literature regarding the effects of prone positioning on ocular complications in the critical care setting. Sight-threatening ophthalmic disorders potentiated by proning include ocular surface disease, acute angle closure, ischemic optic neuropathy, orbital compartment syndrome and vascular occlusions. Conclusions: COVID-19 patients may be more susceptible to ocular complications with increased proning practices and increasing demand on critical care staff. This review outlines these ocular complications with a focus on preventative and treatment measures to avoid devastating visual outcomes for the patient.

show abstract

Section: Ischemic Optic Neuropathymentioning

confidence: 99%

Ocular Complications in the Prone Position in the Critical Care Setting: The COVID-19 Pandemic

Sanghi

Malik

Hossain

et al. 2020

J Intensive Care Med

View full text Add to dashboard Cite

show abstract

Dialysis-Associated Nonarteritic Anterior Ischemic Optic Neuropathy: A Case Series and Review

Donaldson¹,

Freund²,

Aslahi³

et al. 2021

Journal of Neuro-Ophthalmology

View full text Add to dashboard Cite

Background:Dialysis-associated nonarteritic ischemic optic neuropathy (DA-NAION) occurs secondary to intradialytic hypotension often with catastrophic consequences and is one of the rare situations where NAION can recur in the same eye. We describe 3 cases of DA-NAION associated with hypotension, review the current literature on DA-NAION, and provide recommendations for decreasing the risk of intradialytic hypotension.Methods:In addition to describing 3 cases of DA-NAION, PubMed was searched for all reports of DA-NAION in adults with documented episodes of hypotension preceding the onset of NAION. A total of 50 eyes of 31 patients were included. Age, visual acuity at presentation, rate of bilateral involvement at presentation, sequential involvement of the fellow eye, and recurrence of NAION in the same eye were analyzed.Results:We found that most cases of DA-NAION occur in relatively young patients (47.7 ± 14.7 years) with a high rate of bilateral involvement at presentation (23%) and bilateral sequential involvement (39%). Vision loss is severe with 64% of patients presenting with 20/200 acuity or worse in the involved eye and 19% of patients with final visual acuity of 20/200 or worse in both eyes. 3 patients (9.7%) had recurrence of NAION in the previously affected eye.Conclusions:Neuro-ophthalmologists have an important role in identifying patients who have suffered DA-NAION and communicating their findings to nephrologists to minimize the chance of involvement of the fellow eye and recurrence in the same eye. Intradialytic blood pressure must be closely monitored, and fluid balance, dialysate composition, and dialysis protocol must be optimized to prevent occurrence of intradialytic hypotension, which is the culprit for DA-NAION.

show abstract

Visual Impairment After Haemodialysis

Cited by 2 publications

References 18 publications

Ocular Complications in the Prone Position in the Critical Care Setting: The COVID-19 Pandemic

Ocular Complications in the Prone Position in the Critical Care Setting: The COVID-19 Pandemic

Dialysis-Associated Nonarteritic Anterior Ischemic Optic Neuropathy: A Case Series and Review

Contact Info

Product

Resources

About