Minguela I, Andonegui J, Aurrekoetxea B, Ruiz De Gauna R
Departments of Nephrology and Ophthalmology, Hospital Txagorritxu, Vitoria, Spain.
Am J Kidney Dis. 2000 Jul;36(1):197-8. doi: 10.1053/ajkd.2000.8294.
Intraocular pressure (IOP) may rise during hemodialysis sessions in predisposed patients because of a rapid drop in osmolality at the blood compartment. A patient with diabetes had painful ocular episodes during hemodialysis that were associated with an IOP increase. We modified the dialysis parameters to prevent a rapid decrease in osmolality by creating conductivity and ultrafiltration profiles and adding a colloid solution at the beginning of the procedure. After instituting these changes, the patient became asymptomatic and did not have variations in IOP during the dialysis sessions.
