Title |
Management of intraocular pressure elevation during hemodialysis of neovascular glaucoma: a case report
|
---|---|
Published in |
BMC Ophthalmology, March 2016
|
DOI | 10.1186/s12886-016-0199-z |
Pubmed ID | |
Authors |
P. Frezzotti, C. Menicacci, S. A. Bagaglia, P. Mittica, F. Toto, I. Motolese |
Abstract |
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. 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. 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Arab Emirates | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 37 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 6 | 16% |
Student > Postgraduate | 4 | 11% |
Student > Bachelor | 3 | 8% |
Professor | 3 | 8% |
Student > Ph. D. Student | 3 | 8% |
Other | 9 | 24% |
Unknown | 9 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 21 | 57% |
Biochemistry, Genetics and Molecular Biology | 2 | 5% |
Nursing and Health Professions | 2 | 5% |
Agricultural and Biological Sciences | 1 | 3% |
Social Sciences | 1 | 3% |
Other | 1 | 3% |
Unknown | 9 | 24% |