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NDT Advance Access originally published online on April 20, 2006
Nephrology Dialysis Transplantation 2006 21(9):2647-2649; doi:10.1093/ndt/gfl153
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Improvement in open-angle glaucoma by nocturnal home haemodialysis

Huseyin Kocak1, Joseph Ly2 and Christopher T. Chan2

1 Department of Medicine, Division of Nephrology, Akdeniz University School of Medicine Hospital,Antalya, Turkey and 2 Department of Medicine, Division of Nephrology, Toronto General Hospital – University Health Network, University of Toronto, Toronto, Canada

Correspondence and offprint requests to: Dr Christopher T. Chan, Toronto General Hospital – University Health Network, 200 Elizabeth Street, North Wing 8–842, Toronto, ON, Canada M5G 2C4. Email: christopher.chan@uhn.on.ca

Keywords: glaucoma; intra-ocular pressure; nocturnal haemodialysis

The first 10% of the full text of this article appears below.



   Introduction
 
Open-angle glaucoma (OAG) is a common ocular abnormality seen in patients with end-stage renal disease (ESRD) [1]. Although the pathogenesis of OAG is not yet fully understood, lowering intraocular pressure is the accepted treatment goal. Without adequate treatment, glaucoma can lead to visual disability and eventual blindness [2].

From a simplified viewpoint, intraocular pressure is determined by the balance between aqueous production from the ciliary body and drainage of the aqueous humour through the trabecular meshwork. Normal intraocular pressure (IOP) ranges from 10 to 21 mmHg. IOP of 20–30 mmHg usually results in chronic optic nerve damage. In cases of significant intraocular hypertension (40–50 mmHg), rapid visual loss and retinovascular occlusion may occur.

Intradialytic alteration of IOP by conventional haemodialysis (CHD) has . . . [Full Text of this Article]



   Case history
 


   Discussion
 

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