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Rise in intraocular pressure during haemodialysis in a patient with reduced outflow facility
  1. M Dominik Fischer1,
  2. Johannes Fleischhauer1,
  3. Gérald Keusch2,
  4. Mathias H Abegg3
  1. 1Department of Ophthalmology, University of Zurich, Switzerland
  2. 2Department of Nephrology, City Hospital Waid, Zürich, Switzerland
  3. 3Department of Ophthalmology, University of Zurich, Switzerland
  1. Correspondence to: Mathias Abegg MD PhD, Department of Ophthalmology, University Hospital Zürich, Frauenklinikstrasse 24, CH-8091 Zürich, Switzerland; mhabegg{at}

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Intraocular pressure (IOP) during haemodialysis (HD) has previously been measured with ambiguous results.1 Some studies have shown that HD does not affect the IOP,2–4 whereas others have shown an increase5–7 or decrease8,9,10 in IOP during HD. The discrepancy in these results may be due in part to functional differences in the ocular system of the investigated patients. Indeed, there is some evidence that outflow facility status plays a significant role in IOP fluctuation during HD treatment.7 We present a case of unilateral reduction of outflow facility showing an increase in IOP during HD, which persisted even after active aqueous humour secretion is reduced by cyclocryocoagulation.

Case report

A 68-year-old HD patient with end-stage renal disease of unknown aetiology presented with central retinal vein occlusion in the right eye, which was followed by rubeosis …

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  • Funding: Schiller Foundation Zurich

  • Competing interests: None declared.