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Markedly increased unilateral intraocular pressure during hemodialysis in a patient with ipsilateral exfoliative
1Department of Ophthalmology, Shimane Medical University, Enya, Izumo, Shimane, Japan.
Purpose:
To report a man with markedly increased intraocular pressure in a unilateral exfoliated eye during hemodialysis.
Method:
Case report.
Results:
A 75-year-old man with unilateral exfoliative glaucoma complained of blurred vision in his right eye during hemodialysis. The blurred vision always occurred during hemodialysis, and the intraocular pressure was increased during hemodialysis. The average increase in intraocular pressure during hemodialysis in the right eye was 22.5 mm Hg, and the intraocular pressure in the left eye remained in the normal range during hemodialysis. Argon laser trabeculoplasty was performed on the right eye, and a decrease in intraocular pressure was attained.
Conclusion:
Physicians must be alert to intraocular pressure increases in these eyes during hemodialysis.