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Abstract #67314 Published in IGR 17-4
Management of intraocular pressure elevation during hemodialysis of neovascular glaucoma: a case report
Frezzotti P; Menicacci C; Bagaglia SA; Mittica P; Toto F; Motolese IBMC Ophthalmology 2016; 16: 23
BACKGROUND: It is generally accepted that dialysis may lower plasma osmolality at a faster rate than changes in ocular osmolality. This osmotic difference causes water to migrate from the plasma into the aqueous humor, increasing intraocular pressure. Certain authors have described IOP increase in patients with narrow angles. CASE PRESENTATION: Here we report a neovascular glaucoma patient who experienced a substantial increase in IOP associated with severe eye pain and blurred vision during sessions of dialysis. The patient had been refractory to several antiglaucoma drugs and improved after intravenous administration of 20% hyperosmotic glucose solution with dialysis and pan-retinal photocoagulation. CONCLUSION: It is the first report in which intravenous glucose administration and reduction of neovascularization by argon laser pan-retinal photocoagulation successfully managed IOP increase during dialysis in neovascular glaucoma. Further clinical studies are required to confirm our results.
Ophthalmology Unit, Department of Medicine, Surgery and Neuroscience, University of Siena, Viale Bracci s.n.c., 53100, Siena, Italy. paolofrezzotti@paolofrezzotti.it.
Full articleClassification:
9.4.5.1 Neovascular glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.5 Glaucomas associated with disorders of the retina, choroid and vitreous)
6.1.3 Factors affecting IOP (Part of: 6 Clinical examination methods > 6.1 Intraocular pressure measurement; factors affecting IOP)