Multimodal ocular evaluation in hemodialysis patients

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dc.contributor.authorMayali H.
dc.contributor.authorAltinisik M.
dc.contributor.authorSarigul C.
dc.contributor.authorToraman A.
dc.contributor.authorTurkoglu M.S.
dc.contributor.authorKurt E.
dc.date.accessioned2024-07-22T08:05:54Z
dc.date.available2024-07-22T08:05:54Z
dc.date.issued2021
dc.description.abstractPurpose: To evaluate choroidal thickness, intraocular pressure (IOP), axial length, central corneal thickness (CCT), lens thickness, anterior chamber depth, and ocular pulse amplitude (OPA) in hemodialysis patients. Materials and methods: The patients with end-stage renal disease and undergoing hemodialysis were included in the study. Immediately before and 1 hour after hemodialysis, all patients underwent measurement of choroidal thickness with spectral domain optical coherence tomography (SD-OC, Cirrus HD-OCT; Carl Zeiss Meditec Inc., Dublin, CA), IOP and OPA with Pascal dynamic contour tonometry (Ziemer Ophthalmic Systems AG, Port, Switzerland), and anterior chamber depth, lens thickness, and axial length with optical biometry (LenStar LS900; Haag-Streit AG, Koeniz, Switzerland). Data from the patients’ right eyes were included in the statistical analysis. Results: The patient group included 8 (36.4%) males and 14 (63.6%) females with a mean age of 56, 14 ± 9, 96 (40–70) years. The mean subfoveal choroidal thickness before and after hemodialysis was 255.21 ± 6.15 (245–263) µm and 234.95 ± 7.89 (220–247) µm, respectively (p < 0.001). Mean choroidal thickness at 1500 µm and 3000 µm nasal and temporal of the fovea also decreased significantly after hemodialysis (p < 0.001). Mean OPA values before and after hemodialysis were 2.14 ± 1.07 (0.6–4) mmHg and 1.6 ± 0.86 (0.5–3.2) mmHg, respectively (p < 0.001). There was a statistically significant correlation between OPA and choroidal thickness measurements (p < 0.001, R = 0.923). IOP increased from 15.11 ± 2.58 (11–20) to 15.99 ± 2.21 (13–20) mmHg, but the change did not reach statistical significance (p = 0.05). There was no statistically significant change in mean axial length, anterior chamber depth, lens thickness, or CCT after hemodialysis (p > 0.05 for all). Conclusion: Although choroidal thickness and OPA may be decreased immediately after hemodialysis, there may be no significant changes in IOP or avascular ocular structures such as the lens and cornea. © 2021, The Author(s), under exclusive licence to Springer Nature B.V.
dc.identifier.DOI-ID10.1007/s10792-021-01738-9
dc.identifier.issn01655701
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/13273
dc.language.isoEnglish
dc.publisherSpringer Science and Business Media B.V.
dc.subjectAged
dc.subjectChoroid
dc.subjectFemale
dc.subjectHumans
dc.subjectIntraocular Pressure
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectRenal Dialysis
dc.subjectSwitzerland
dc.subjectTomography, Optical Coherence
dc.subjectTonometry, Ocular
dc.subjectadult
dc.subjectaged
dc.subjectanterior eye chamber depth
dc.subjectArticle
dc.subjectbiometry
dc.subjectcentral corneal thickness
dc.subjectclinical article
dc.subjectend stage renal disease
dc.subjecteye axis length
dc.subjecteye examination
dc.subjectfemale
dc.subjecthemodialysis
dc.subjecthemodialysis patient
dc.subjecthuman
dc.subjectintraocular pressure
dc.subjectlens thickness
dc.subjectmale
dc.subjectocular pulse amplitude
dc.subjectoculoplethysmography
dc.subjectoptical biometry
dc.subjectPascal dynamic contour tonometry
dc.subjectspectral domain optical coherence tomography
dc.subjectsubfoveal choroidal thickness
dc.subjectthickness
dc.subjectvisual system parameters
dc.subjectadverse event
dc.subjectchoroid
dc.subjecthemodialysis
dc.subjectintraocular pressure
dc.subjectmiddle aged
dc.subjectoculoplethysmography
dc.subjectoptical coherence tomography
dc.subjectSwitzerland
dc.titleMultimodal ocular evaluation in hemodialysis patients
dc.typeArticle

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