تقرير
Acute angle closure following hemodialysis in a 34-year-old Nigerian female.
| العنوان: | Acute angle closure following hemodialysis in a 34-year-old Nigerian female. |
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| المؤلفون: | Olawoye OO; Department of Ophthalmology, College of Medicine, University of Ibadan, Department of Ophthalmology, University College Hospital, Ibadan, Nigeria., Ogunleye T; Department of Medicine, University College Hospital, Ibadan, Nigeria., Sarimiye TF; Department of Ophthalmology, College of Medicine, University of Ibadan, Department of Ophthalmology, University College Hospital, Ibadan, Nigeria., Bello TO; Department of Medicine, University College Hospital, Ibadan, Nigeria. |
| المصدر: | Nigerian journal of clinical practice [Niger J Clin Pract] 2018 Jul; Vol. 21 (7), pp. 942-944. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Medknow Publications Country of Publication: India NLM ID: 101150032 Publication Model: Print Cited Medium: Internet ISSN: 1119-3077 (Print) NLM ISO Abbreviation: Niger J Clin Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Mumbai : Medknow Publications Original Publication: [Lagos?] : Medical and Dental Consultants' Association of Nigeria |
| مواضيع طبية MeSH: | Glaucoma, Angle-Closure/*chemically induced , Glomerulonephritis/*complications , Intraocular Pressure/*physiology , Renal Dialysis/*adverse effects , Renal Insufficiency, Chronic/*therapy, Adult ; Drug Combinations ; Female ; Glaucoma ; Glaucoma, Angle-Closure/physiopathology ; Gonioscopy ; Humans ; Intraocular Pressure/drug effects ; Ophthalmic Solutions/therapeutic use ; Pilocarpine/therapeutic use ; Renal Insufficiency, Chronic/complications ; Sulfonamides/therapeutic use ; Thiophenes/therapeutic use ; Timolol/therapeutic use ; Tonometry, Ocular ; Treatment Outcome ; Visual Acuity |
| مستخلص: | Studies have reported that intraocular pressure (IOP) might change markedly during hemodialysis. We report the case of a 34-year-old Nigerian female with a 3-year history of chronic kidney disease secondary to chronic glomerulonephritis who presented with acute symptomatic elevation of IOPs following hemodialysis. She had no ocular complaints immediately before undergoing hemodialysis. She presented with a history of pain, redness, and mild blurring of vision in the left eye about 15 min after hemodialysis. Examination revealed circumciliary injection, shallow anterior chambers, and closed angles on gonioscopy in both the eyes. She was treated with pilocarpine (4%) four times daily and dorzolamide/timolol (2%/0.5%) twice daily combination eye drops with subsequent relief of symptoms and IOP reduction from an initial 48 and 74 mmHg to 10 and 12 mmHg for the right and left eyes, respectively. This case highlights the need for sensitization and awareness among renal physicians and ophthalmologists of the possibility of extremely high IOP during or immediately following hemodialysis. It also emphasizes the importance of gonioscopy and treatment of at-risk patients with narrow angles before hemodialysis. Competing Interests: There are no conflicts of interest |
| فهرسة مساهمة: | Keywords: Angle closure; hemodialysis; intraocular pressure |
| المشرفين على المادة: | 0 (Drug Combinations) 0 (Ophthalmic Solutions) 0 (Sulfonamides) 0 (Thiophenes) 0 (dorzolamide-timolol combination) 01MI4Q9DI3 (Pilocarpine) 817W3C6175 (Timolol) |
| تواريخ الأحداث: | Date Created: 20180710 Date Completed: 20181016 Latest Revision: 20181016 |
| رمز التحديث: | 20240829 |
| DOI: | 10.4103/njcp.njcp_358_17 |
| PMID: | 29984730 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1119-3077 |
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| DOI: | 10.4103/njcp.njcp_358_17 |