Dr.PRAVEEN KUMAR

DR.VIVEK PRAVEEN KUMAR K

Abstract

Purpose: To investigate the effect of hemodialysis (HD) on intraocular pressure (IOP) in end-stage renal disease patients. Method: IOP was measured in patients on HD just before HD, and immediately after HD. Results: 140 eyes of 70 patients were evaluated. 53 (75.7%) patients were of 40 years or older. The mean IOP before HD in right eye (RE) was 16.59±2.44 mmHg and in left eye (LE) was 16.67± 2.62 mmHg. Mean IOP after HD in RE was 19.23±2.79 mmHg and in LE was 19.64±3.42 mmHg. IOP raised after HD, with mean IOP rise in RE being 2.64±2.72 SD (p<0.0001) and in LE being 2.97±3.57SD (p<0.0001). A very low correlation was found between IOP and with other systemic parameters like calcium, phosphorus, urea, creatinine, alkaline phosphatase. Conclusions: IOP increased significantly during HD in this study, which increase the risk of development of glaucoma. HD should be considered as risk factor for development of glaucoma, even when IOP has been well controlled.