The Effect of Hemodialysis on Intraocular Pressure

Osama Badeeb, Reem A. Alasiri, Ismail Nemri, Lamees Aldoobie, Alaa Alsam-mahi, Yara Fayoumi, Bhaa Simbawa, Abdulaziz Bahamdain

Abstract: We conducted this pilot study to evaluate the effect of HD on IOP in patients with chronic renal failure (CRF) at King Abdulaziz University Hospital (KAUH). Method: A prospective, cross sectional observational study, was conducted on patients on HD at KAUH during the month of September 2016. IOP was measured with a Tonopen in both eyes, before, during, and after HD session. Demographic data were collected from patients’ files. Body weight, systolic and diastolic arterial pressure were also measured before and after HD. Results: 31 patients with a mean age and standard deviation of 48.58 ± 18.16 years were studied. Patients had been on HD for a mean period of 63.29 ± 57.07 months. The main causes of CRF were diabetes mellitus (DM), renal dis-eases, and hypertension. No significant effect of HD on IOP in 29 patients during and post HD (P= 0.776). 7 patients were on systemic B-blocker for hypertension, and one patient was on anti-glaucoma eye drop xalatan for glaucoma. 2 patients had significant increase of IOP during and post HD (P < 0.045). Body Weight and arterial pressure significantly decreased during HD (p=0.001, p=0.002) respectively. Conclusion: No significant effect of HD on IOP in most patients, however, only 2 patients had significant increase of IOP. 8 patients were on systemic B-blocker and topical anti glaucoma eye drop, which may under estimate the effect of HD on IOP. HD significantly decrease body weight and blood pressure. Keywords: HD session, diabetes mellitus (DM), IOP. Title: The Effect of Hemodialysis on Intraocular Pressure Author: Osama Badeeb, Reem A. Alasiri, Ismail Nemri, Lamees Aldoobie, Alaa Alsam-mahi, Yara Fayoumi, Bhaa Simbawa, Abdulaziz Bahamdain International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

Vol. 4, Issue 2, October 2016 – March 2017

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The Effect of Hemodialysis on Intraocular Pressure by Osama Badeeb, Reem A. Alasiri, Ismail Nemri, Lamees Aldoobie, Alaa Alsam-mahi, Yara Fayoumi, Bhaa Simbawa, Abdulaziz Bahamdain