| Theme | Ocular Disease in Hemodialysis Patients | |
|---|---|---|
| Title | Glaucoma | |
| Publish Date | 1998/11 | |
| Author | Tatsushi Kaga | Department of Ophthalmology, Social Insurance Chukyo Hospital |
| [ Summary ] | Intraocular pressure may increase, due to the disequilibrium syndrome, during dialysis. It is thought that disequilibrium of electrolytes during dialysis, especially during hemodialysis, disturbs fluid outflow from the eye, with decreased aqueous outflow, causing an increase in intraocular pressure. Increases in intraocular pressure which occur only during dialysis,will cause injuries to the retinal nerve fibers. This pathological condition may be considered to be, dialisis-induced glaucoma. High intra ocular pressure caused by glaucoma results from decreased aqueous outflow. During dialysis, intra ocular pressure may further increase, resulting in the deterioration of pathological conditions. Treatment strategies are, 1) improvement of decreased aqueous outflow and, 2) use of dialysis methods without the disequilibrium effect. The former strategy can create the fundamental solution to this problem. |
|