Intraocular pressure change during hemodialysis.
OBJECTIVE
To evaluate intraocular pressure (IOP) change through hemodialysis and examine other factors to affect IOP change in patients treated with hemodialysis.


METHODS
Prospective, observational case series.


METHODS
IOP, blood pressure, and plasma colloid osmotic pressure (COP) were measured in 188 eyes of 95 patients receiving hemodialysis in Nantan General Hospital.


RESULTS
IOP significantly decreased after hemodialysis (P = 0.006). Body weight, systolic and diastolic blood pressure also decreased significantly (P < 0.001). COP significantly increased (P < 0.001). Change in IOP correlated negatively with COP change (OD; r = -0.196, OS; r = -0.339) and positively with change in body weight (OD; r = -0.278, OS; r = -0.357). IOP tended to increase after hemodialysis in patients receiving hemodialysis for more than 12 years.


CONCLUSIONS
IOP decrease during hemodialysis may be due to COP increase. Patients receiving hemodialysis for a long time are more likely to show IOP increase after hemodialysis.
Doshiro
Aya
A
Department of Ophthalmology, Nantan General Hospital, Kyoto, Japan.
Ban
Yuriko
Y
Kobayashi
Lumi
L
Yoshida
Yusuke
Y
Uchiyama
Hitoji
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure; D001835:Body Weight; D003930:Diabetic Retinopathy / Q000503:physiopathology; D005260:Female; D005901:Glaucoma / Q000503:physiopathology; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D007674:Kidney Diseases / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009997:Osmotic Pressure; D011446:Prospective Studies; D006435:Renal Dialysis; D015356:Retinal Artery Occlusion / Q000503:physiopathology; D012170:Retinal Vein Occlusion / Q000503:physiopathology