Prevention of intraocular pressure elevations during hemodialysis.
Intraocular pressure (IOP) may rise during hemodialysis sessions in predisposed patients because of a rapid drop in osmolality at the blood compartment. A patient with diabetes had painful ocular episodes during hemodialysis that were associated with an IOP increase. We modified the dialysis parameters to prevent a rapid decrease in osmolality by creating conductivity and ultrafiltration profiles and adding a colloid solution at the beginning of the procedure. After instituting these changes, the patient became asymptomatic and did not have variations in IOP during the dialysis sessions.
Minguela
I
I
Departments of Nephrology and Ophthalmology, Hospital Txagorritxu, Vitoria, Spain. iminguela@htxa.osakidetza.net
Andonegui
J
J
Aurrekoetxea
B
B
Ruiz De Gauna
R
R
D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology*; D003928:Diabetic Nephropathies / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D007429:Intraocular Pressure; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000209:etiology* / Q000517:prevention & control; D009994:Osmolar Concentration; D010146:Pain / Q000209:etiology; D006435:Renal Dialysis / Q000009:adverse effects* / Q000379:methods