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Ophthalmologic repercussion of hemodialysis

Poster Details

First Author: A.March De Ribot SPAIN

Co Author(s):    P. Lopez Lizarraga   F. March De Ribot   C. Jurjo Campo              

Abstract Details

Purpose:

The objective of this paper is to present ocular events that come as a consequence of hemodialysis

Setting:

Ophthalmology Service, University Hospital Arnau de Vilanova, Lleida, Spain

Methods:

Clinical case report. A 65-year-old man complained from recurrent left ocular pain and amaurosis fugax during hemodialysis, associated with presentation after a posterior capsular rupture during phacoemulsification on the left eye. The past medical history included transperitoneal dialysis 4 years before and systemic hypertension.

Results:

Pre-dialysis exam showed: Best-corrected visual acuity (BCVA) of 20/40 in right eye (RE) and 20/100 in left eye (LE), with intraocular pressure of 12 and 8 mmHg respectively. Post-dialysis exam revealed: BCVA of perception of light at the left eye, inflammatory cells (Grade 1+) in the anterior chamber and 36 mmHg in LE. A slightly pale left optic nerve could be seen.

Conclusions:

Hemodialysis may be a cause of a recurrent painful intraocular pressure spikes in a patient with unilateral anterior uveitis. Systemic hypotension at the beginning of the hemodialysis associated with a left carotid stenosis of 30-50% might produce a posterior ocular ischemic event.

Financial Disclosure:

NONE

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