ArticleJournal of current glaucoma practice
The Influence of Hemodialysis on Ocular Pressure Dynamics: An Observational Study on IOP and OPP Changes.
Article in Journal of current glaucoma practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Background: Hemodialysis (HD) is a life-saving therapy for patients with end-stage renal disease (ESRD), yet its impact on ocular hemodynamics remains insufficiently characterized. Intraocular pressure (IOP) and ocular perfusion pressure (OPP) are critical determinants of ocular health, and their fluctuation during HD may predispose patients to complications, particularly in glaucoma. Objective: To assess the effect of HD on IOP and OPP in patients on maintenance dialysis. Materials and methods: This observational study included 50 ESRD patients undergoing regular HD. IOP was measured using a noncontact tonometer, and OPP was calculated before and after dialysis sessions. Demographic, clinical, and hemodynamic parameters were recorded. Pre- and postdialysis values were compared using paired statistical tests. Results: Hemodialysis significantly increased IOP [right eye (RE): 13.56 ± 2.75 to 16.06 ± 1.97 mm Hg, Conclusions: Hemodialysis significantly alters ocular pressure dynamics, with increased IOP and reduced OPP suggesting compromised ocular perfusion. Hypertension (HTN) and diabetes mellitus (DM) may exacerbate these effects. Although no acute ocular complications were observed, reduced OPP may increase the risk in patients with glaucoma or vascular disease. Routine ophthalmic monitoring and structured follow-up should be integrated into dialysis care. How to cite this article: Donepudi VSS, Devasena M MA, Annamalai R,
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