Management of Intraocular Hypertension During Hemodialysis by Intravenous Glucose Administration

Koutsonas, Antonis; Walter, Peter; Floege, Jürgen; Krüger, Thilo

doi:10.1053/j.ajkd.2013.08.034

Cited by 11 publications

(12 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mannitol infusion has been tried during dialysis, but this exposes the patient to adverse side effects such as—chest pain, headaches, edema, and rashes . The most recent therapy involved an infusion of 20% hyperosmolar glucose solution at 100 mL/h during dialysis which helped maintain the IOP in the normal range …”

Section: Discussionmentioning

confidence: 99%

“…18 The most recent therapy involved an infusion of 20% hyperosmolar glucose solution at 100 mL/h during dialysis which helped maintain the IOP in the normal range. 19,20 Minguela et al presented a case report showing that a change total conductivity with colloid solution can relieve symptoms and prevent increase in IOP. 21 We present the only reported case that used a higher sodium concentration of dialysis to raise tonicity thereby mitigating IOP fluctuations and risk for ocular dialysis disequilibrium.…”

Section: Changing the Tonicitymentioning

confidence: 99%

See 1 more Smart Citation

Ocular dialysis disequilibrium—Management of intraocular pressure during hemodialysis of open angle glaucoma: A case report and review of the literature

Lippold

Kalarn

Swamy

et al. 2019

Hemodialysis International

View full text Add to dashboard Cite

It has been shown that patients with end‐stage renal disease (ESRD) have an increased risk for changes in intraocular pressure during hemodialysis, or ocular dialysis disequilibrium which can cause pain or discomfort during treatment and lead to decreased vision over time. This is a case of an elderly male with ESRD who was having headaches, nausea, and eye pain during hemodialysis due to increased intraocular pressures. Using a higher sodium prescription resolved his symptoms and normalized his intraocular pressures. This case illustrates that modification in dialysate tonicity can decrease changes in intraocular pressures while patients are on hemodialysis, a vision saving consideration for patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Changing the Tonicitymentioning

confidence: 99%

Ocular dialysis disequilibrium—Management of intraocular pressure during hemodialysis of open angle glaucoma: A case report and review of the literature

Lippold

Kalarn

Swamy

et al. 2019

Hemodialysis International

View full text Add to dashboard Cite

show abstract

“…Different measures have been proposed to prevent IOP increments during HD, such as the use of glucoside or hyperosmolar solutions , mannitol , acetazolamide , bicarbonate , adjustment of sodium in the dialysate , surgical correction of obstruction in the aqueous humor outflow , and different ultrafiltration profiles . Based on the current observation that IOP did not increase during HDF, further studies are needed to test this dialysis method for patients with risk factors for IOP elevations, including people with diabetes, aged patients or those with glaucoma.…”

Section: Discussionmentioning

confidence: 99%

“…During chronic hemodialysis (HD), ocular complications such as significant IOP increments, glaucoma, and retro‐ocular pain have been reported in several case studies . Considering that patients treated with chronic HD experience important changes in blood pressure and body fluids volume and composition , several studies have evaluated a potential association between changes in IOP during HD .…”

mentioning

confidence: 99%

Intraocular Pressure Changes During Hemodialysis or Hemodiafiltration in End‐Stage Renal Disease Patients

Saavedra-Fuentes

Pérez-Grovas

Navarrete³

et al. 2018

Ther Apher Dial

View full text Add to dashboard Cite

The aim of this study was to evaluate the intraocular pressure during hemodialysis and hemodiafiltration. Fifteen patients were enrolled (seven treated with hemodialysis therapy and eight with hemodiafiltration). The intraocular pressure was measured before and after dialysis and every 30 min during dialysis. Before dialysis, both groups had similar dialysis prescription, blood pressure, and biochemical parameters. At the end of dialysis, potassium, and osmolarity decreased in both groups, while systolic blood pressure and sodium decreased in the hemodialysis group, and glucose decreased in the hemodiafiltration group. Mean intraocular pressure was similar between groups at all measured times and had no significant changes during hemodialysis. During minute 120 of hemodiafiltration, mean intraocular pressure in the left eye decreased significantly compared to minute 90. This suggests a high intra-individual variability of intraocular pressure during both types of dialysis, which could be relevant particularly among those with the risk of glaucoma.

show abstract

“…A HD patient with intradialytic ocular pain and loss of vision due to glaucoma was treated with intravenous glucose (20% glucose at 100 ml/hour) during dialysis . Symptoms resolved and postdialysis intraocular pressure fell from >30 mmHg to normal (10–12 mmHg) levels.…”

mentioning

confidence: 99%

Briefly Noted

Sherman¹

2014

Seminars in Dialysis

View full text Add to dashboard Cite

Management of Intraocular Hypertension During Hemodialysis by Intravenous Glucose Administration

Cited by 11 publications

References 12 publications

Ocular dialysis disequilibrium—Management of intraocular pressure during hemodialysis of open angle glaucoma: A case report and review of the literature

Ocular dialysis disequilibrium—Management of intraocular pressure during hemodialysis of open angle glaucoma: A case report and review of the literature

Intraocular Pressure Changes During Hemodialysis or Hemodiafiltration in End‐Stage Renal Disease Patients

Briefly Noted

Contact Info

Product

Resources

About