[Case in which the unilateral intraocular pressure before hemodialysis was higher than the day following hemodialysis].

Abstract

Purpose: To report a case in which the unilateral intraocular pressure (IOP) before hemodialysis was higher than the day following hemodialysis.

Case: A 59-year-old woman had been followed with diabetic retinopathy in a local eye clinic and was referred to our hospital for a vitreous hemorrhage in the right eye in June 2002. She started hemodialysis for renal failure due to diabetic nephropathy in July 2002; vitreous and cataract surgeries were performed in September 2002. In May 2004, she underwent surgery in the left eye. The IOP in the left eye increased to the high 20s in August 2005. The visual acuity in the right eye was 0.7 and 0.3 in the left eye. The angles were open bilaterally. Before hemodialysis, the IOP in the left eye was significantly higher than that in the days following hemodialysis. There was no significant change in the right eye between before and after hemodialysis. Following trabeculectomy performed in the left eye in January 2007, the IOP in the left eye stabilized in the low teens.

Conclusion: In some cases, the IOP can vary between before and the days following dialysis. It is important to check the IOP at these time points.