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BMC Ophthalmology
Published in: BMC Ophthalmology 1/2016

Open Access 01-12-2016 | Case report

Management of intraocular pressure elevation during hemodialysis of neovascular glaucoma: a case report

Authors: P. Frezzotti, C. Menicacci, S. A. Bagaglia, P. Mittica, F. Toto, I. Motolese

Published in: BMC Ophthalmology | Issue 1/2016

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Abstract

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.
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Metadata
Title
Management of intraocular pressure elevation during hemodialysis of neovascular glaucoma: a case report
Authors
P. Frezzotti
C. Menicacci
S. A. Bagaglia
P. Mittica
F. Toto
I. Motolese
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2016
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-016-0199-z

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