Markedly increased unilateral intraocular pressure during hemodialysis in a patient with ipsilateral exfoliative glaucoma

PURPOSE: To report a man with markedly increased intraocular pressure in a unilateral exfoliated eye during hemodialysis. METHOD: Case report. RESULTS: A 75 year old man with unilateral exfoliative glaucoma complained of blurred vision in his right eye during hemodialysis. The blurred vision always occurred during hemodialysis, and the intraocular pressure was incre ased during hemodialysis. The average increase in intraocular pressure duri ng hemodialysis in the right eye was 22.5 mm Hg, and the intraocular pressu re in the left eye remained in the normal range during hemodialysis, Argon laser trabeculoplasty was performed on the right eye, and a decrease in int raocular pressure was attained, CONCLUSION: Physicians must be alert to intraocular pressure increases in t hese eyes during hemodialysis. (Am J Ophthalmol 2000;129:534-536, (C) 2000 by Elsevier Science Inc. All rights reserved.).