Changes in Intraocular Pressure after Hemodialysis at Hemodialysis

Center Al Gamhoria Teaching Hospital, Aden

Abstract

The relationship between intraocular pressure (IOP) changes and haemodialysis (HD) has been evaluated for more
than 50 years, the reported findings are variable.The aim of the study is to evaluate the changes in IOP after
HD.Ninety patients (180 eyes) undergoing HD with chronic renal failure were enrolled. Measurement of IOP was
taken before and approximately 5 minutes after ending HD . Demographic data, causes of the chronic renal failure,
duration of HD, and medical history of eye state were recorded. The mean age of the patients was 40.8 ± 14.1 years.
The mean pre-dialysis IOP was 14.538 ± 3.66 mm Hg and mean post-dialysis IOP was 15.876 ± 4.13 mm Hg and
the mean IOP change was 1.33 ( P =< 0.001) .The mean IOP change was significant in non hypertensive/ non
diabetics, non operated eye and without history of eye diseases -1.40 ± 3.53mmHg , -1.17 ± 3.74 mmHg, -1.59±4.35
mm Hg, respectively ( P=< 0.001).Our result supported the view that the effect of HD on IOP is variable. We
recommend ocular examination for all patients undergoing HD to prevent visual complications.