Effect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease

Elias Chelala,1,2,* Ali Dirani,1,2,* Ali Fadlallah,1,2 Elise Slim,1,2 Youssef Abdelmassih,1,2 Henry Fakhoury,3 Patrick Baz,1,2 Riad Bejjani1,2 1Faculty of Medicine, Saint-Joseph University, 2Hôtel-Dieu de France Hospital, Saint-Joseph University, 3Eye and Ear Hospital, Beirut, Lebanon *...

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Autores principales:	Chelala E, Dirani A, Fadlallah A, Slim E, Abdelmassih Y, Fakhoury H, Baz P, Bejjani R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1b6bb11af88245c2a1b018d000662826
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spelling	oai:doaj.org-article:1b6bb11af88245c2a1b018d0006628262021-12-02T09:31:19ZEffect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease1177-5483https://doaj.org/article/1b6bb11af88245c2a1b018d0006628262015-01-01T00:00:00Zhttp://www.dovepress.com/effect-of-hemodialysis-on-visual-acuity-intraocular-pressure-and-macul-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Elias Chelala,1,2,* Ali Dirani,1,2,* Ali Fadlallah,1,2 Elise Slim,1,2 Youssef Abdelmassih,1,2 Henry Fakhoury,3 Patrick Baz,1,2 Riad Bejjani1,2 1Faculty of Medicine, Saint-Joseph University, 2Hôtel-Dieu de France Hospital, Saint-Joseph University, 3Eye and Ear Hospital, Beirut, Lebanon *These two authors contributed equally to this work Background: The aim of this study was to evaluate the effects of hemodialysis (HD) on visual acuity, intraocular pressure (IOP), and central foveal thickness (CFT) in patients with chronic kidney disease.Materials and methods: Forty-nine eyes from 49 chronic kidney-disease patients were analyzed. Causes of chronic kidney disease included diabetes mellitus (n=9 patients), hypertensive nephrosclerosis (n=15 patients), and other causes (n=25 patients). All patients underwent HD in the Dialysis Unit of Hôtel-Dieu de France Hospital. Best-corrected visual acuity, CFT, and IOP were evaluated before and after HD. CFT was measured with spectral domain optical coherence tomography, and IOP was measured with Goldmann applanation tonometry.Results: Neither decimal best-corrected visual acuity (pre-HD 0.71±0.32, post-HD 0.72±0.31; P=0.877) nor CFT (pre-HD 251.39±39.29, post-HD 253.09±39.26; P=0.272) significantly changed after HD. However, mean IOP significantly decreased from 13.99±2.48 before HD to 12.65±2.41 mmHg after HD (P=0.001). IOP change was significantly correlated with serum albumin levels (P=0.008) and weight changes (P=0.047).Conclusion: HD can affect various ocular parameters. This is particularly true of IOP, which decreases significantly following HD. Keywords: chronic kidney disease, hemodialysis, visual acuity, central macular thickness, intraocular pressureChelala EDirani AFadlallah ASlim EAbdelmassih YFakhoury HBaz PBejjani RDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 109-114 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Chelala E Dirani A Fadlallah A Slim E Abdelmassih Y Fakhoury H Baz P Bejjani R Effect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease
description	Elias Chelala,1,2,* Ali Dirani,1,2,* Ali Fadlallah,1,2 Elise Slim,1,2 Youssef Abdelmassih,1,2 Henry Fakhoury,3 Patrick Baz,1,2 Riad Bejjani1,2 1Faculty of Medicine, Saint-Joseph University, 2Hôtel-Dieu de France Hospital, Saint-Joseph University, 3Eye and Ear Hospital, Beirut, Lebanon *These two authors contributed equally to this work Background: The aim of this study was to evaluate the effects of hemodialysis (HD) on visual acuity, intraocular pressure (IOP), and central foveal thickness (CFT) in patients with chronic kidney disease.Materials and methods: Forty-nine eyes from 49 chronic kidney-disease patients were analyzed. Causes of chronic kidney disease included diabetes mellitus (n=9 patients), hypertensive nephrosclerosis (n=15 patients), and other causes (n=25 patients). All patients underwent HD in the Dialysis Unit of Hôtel-Dieu de France Hospital. Best-corrected visual acuity, CFT, and IOP were evaluated before and after HD. CFT was measured with spectral domain optical coherence tomography, and IOP was measured with Goldmann applanation tonometry.Results: Neither decimal best-corrected visual acuity (pre-HD 0.71±0.32, post-HD 0.72±0.31; P=0.877) nor CFT (pre-HD 251.39±39.29, post-HD 253.09±39.26; P=0.272) significantly changed after HD. However, mean IOP significantly decreased from 13.99±2.48 before HD to 12.65±2.41 mmHg after HD (P=0.001). IOP change was significantly correlated with serum albumin levels (P=0.008) and weight changes (P=0.047).Conclusion: HD can affect various ocular parameters. This is particularly true of IOP, which decreases significantly following HD. Keywords: chronic kidney disease, hemodialysis, visual acuity, central macular thickness, intraocular pressure
format	article
author	Chelala E Dirani A Fadlallah A Slim E Abdelmassih Y Fakhoury H Baz P Bejjani R
author_facet	Chelala E Dirani A Fadlallah A Slim E Abdelmassih Y Fakhoury H Baz P Bejjani R
author_sort	Chelala E
title	Effect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease
title_short	Effect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease
title_full	Effect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease
title_fullStr	Effect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease
title_full_unstemmed	Effect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease
title_sort	effect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/1b6bb11af88245c2a1b018d000662826
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Effect of hemodialysis on visual acuity, intraocular pressure, and macular thickness in patients with chronic kidney disease

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