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Published on: October 2, 2020
Intraocular pressure changes during hemodialysis.
Vassilios Liakopoulos1, Paraskevi Demirtzi2, Dimitrios G Mikropoulos3,4
1Division of Nephrology and Hypertension, 1st Department of Internal Medicine, AHEPA Hospital, School of Medicine, Aristotle University of Thessaloniki, 1 St. Kyriakidi Street, 54636, Thessaloniki, Greece. liakopul@otenet.gr.
Intraocular pressure (IOP) response to hemodialysis varies, with studies showing increases, decreases, or no change. Modern hemodialysis techniques may stabilize IOP, but caution is advised for glaucoma patients.
Area of Science:
- Ophthalmology
- Nephrology
- Physiology
Background:
- Intraocular pressure (IOP) response to hemodialysis (HD) is debated.
- Conflicting results exist regarding IOP changes during HD.
- Potential mechanisms include osmotic disequilibrium and changes in plasma colloid pressure.
Purpose of the Study:
- To review the literature on IOP fluctuations during hemodialysis.
- To understand the physiological basis for varied IOP responses.
- To highlight implications for patients with ocular conditions.
Main Methods:
- Literature review of studies investigating IOP during HD.
- Analysis of reported IOP changes and attributed mechanisms.
- Synthesis of findings from decades of research.
Main Results:
- Some studies report increased IOP due to osmotic disequilibrium.
- Other studies show decreased IOP attributed to fluid removal and increased colloid pressure.
- Recent research suggests modern HD techniques minimize significant IOP changes.
Conclusions:
- Hemodialysis can cause variable IOP changes.
- Improved HD techniques may mitigate IOP fluctuations.
- Ocular pathology patients require specific preventive measures during HD.
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