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Eyeing the complications of hemodialysis in the eye

Nidhi Jindal1, Madhukar Misra

  • 1Division of Nephrology, Department of Medicine, University of Missouri, Columbia, Missouri, USA.

Hemodialysis International. International Symposium on Home Hemodialysis
|October 22, 2014
PubMed

Insights

Hemodialysis (HD) can cause unpredictable changes in intraocular pressure (IOP), potentially worsening glaucoma. Awareness and management are crucial, especially for at-risk populations.

Area of Science:

  • Nephrology
  • Ophthalmology

Background:

  • The impact of hemodialysis (HD) on intraocular pressure (IOP) is inconsistent, with reported increases, decreases, or no change.
  • Mechanisms underlying HD-induced IOP fluctuations remain unclear, necessitating further investigation.

Observation:

  • Patients with pre-existing glaucoma or impaired aqueous outflow are more vulnerable to IOP elevation during HD.
  • Symptoms like severe eye pain, blurred vision, and headaches can arise from increased IOP in dialysis patients.

Findings:

  • Dialysis prescription adjustments may alleviate symptoms associated with HD-related IOP changes.
  • Nephrologists often lack awareness regarding the effects of HD on IOP, particularly in African American patients with higher risks for both ESRD and glaucoma.

Implications:

  • Recognizing and managing elevated IOP in dialysis patients is vital to reduce morbidity and prevent unnecessary diagnostic procedures.
  • Improved understanding and communication between nephrologists and ophthalmologists can enhance patient care for this vulnerable group.

Keywords:
Glaucomahemodialysisintraocular pressure

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