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Intraocular pressure during haemodialysis: a review
1Department of Ophthalmology, Soroka University Medical Center, Beer-Sheva, Israel. ljaime@bgu.ac.il
Eye (London, England)
|November 16, 2004
Summary
The effect of haemodialysis (HD) on intraocular pressure (IOP) remains unclear, with conflicting results in existing studies. Further research is needed to clarify these effects, especially for glaucoma patients.
Area of Science:
- Ophthalmology
- Nephrology
Background:
- Haemodialysis (HD) is a common treatment for kidney failure.
- Previous studies on the impact of HD on intraocular pressure (IOP) have yielded inconsistent findings.
- The precise mechanisms by which HD might influence IOP are not fully understood.
Purpose of the Study:
- To synthesize existing evidence on IOP changes during HD.
- To review proposed hypotheses regarding HD's influence on IOP.
- To assess the necessity of ophthalmic examinations for HD patients.
Main Methods:
- A comprehensive review of peer-reviewed English literature was conducted.
- Relevant articles examining the relationship between HD and IOP were selected for analysis.
Main Results:
- The influence of HD on IOP is not definitively established.
- Contradictory findings regarding IOP changes during HD persist even in recent literature.
Conclusions:
- Further research is essential to elucidate the effects of HD on IOP.
- Patients with glaucoma, narrow angles, or impaired aqueous outflow may be at higher risk of IOP elevation during HD.
- Regular ophthalmic examinations may be advisable for HD patients, particularly those with pre-existing ocular conditions.