Recurrent intraocular pressure elevation during hemodialysis in a patient with neovascular glaucoma.
OBJECTIVE
To report a patient with symptomatic intraocular pressure (lOP) elevation in an eye with neovascular glaucoma (NVG) during hemodialysis.


METHODS
Case report.


RESULTS
Recurrent 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.


CONCLUSIONS
Physicians must be alert to the possibility of IOP elevation in glaucomatous eyes during hemodialysis.
Song
Won Kyung
WK
The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine Hospital, Seoul, Korea.
Ha
Seung Joo
SJ
Yeom
Ho Yeup
HY
Seoung
Gong Jae
GJ
Hong
Young Jae
YJ
D000328:Adult; D018463:Filtering Surgery / Q000295:instrumentation; D005500:Follow-Up Studies; D020327:Glaucoma Drainage Implants; D015355:Glaucoma, Neovascular / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D012008:Recurrence; D006435:Renal Dialysis / Q000009:adverse effects*