The effect of hemodialysis on macular thickness

Introduction/Objective. During hemodialysis (HD) treatment great fluctuations were recorded in the systemic hemodynamic parameters and in the volume and composition of ocular fluid. There are only a few studies that analyzed the effect of HD on retinal and macular thickness with conflicting results....

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Main Authors: Šobot Vesna, Jakšić Vesna, Kovačević Igor, Lukić Dragan
Format: Article
Language:English
Published: Serbian Medical Society 2022-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2022/0370-81792200023S.pdf
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author Šobot Vesna
Jakšić Vesna
Kovačević Igor
Lukić Dragan
author_facet Šobot Vesna
Jakšić Vesna
Kovačević Igor
Lukić Dragan
author_sort Šobot Vesna
collection DOAJ
description Introduction/Objective. During hemodialysis (HD) treatment great fluctuations were recorded in the systemic hemodynamic parameters and in the volume and composition of ocular fluid. There are only a few studies that analyzed the effect of HD on retinal and macular thickness with conflicting results. Objective of this study was to determine macular thickness, marked as central foveal thickness, average macular thickness and macular volume, shortly before and after HD. Methods. This prospective study included 30 chronic renal failure (CRF) patients of HD treatment. Thorough ophthalmologic examinations were performed including evaluation of best corrected visual acuity, intraocular pressure and slit-lamp examination of all eye segments. Macular thickness was determined by optical coherence tomography shortly before and after HD. The next parameters were evaluated: central foveal thickness, average macular thickness and macular volume. The correlation between systemic parameters and macular thickness changes during HD was tested. Results. There were significant changes in body weight and blood pressure pre- and post-HD. Results showed macular thickness (central foveal thickness, average macular thickness and macular volume) decreased, but the change was not significant. There was no significant correlation between systemic hemodynamic parameters and macular thickness changes. Conclusion. Results of this study showed there was no statistically significant changes in macular thickness CRF patient undergoing HD. Further research on a larger group of patients and a longer follow-up time are required to confirm these findings.
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spelling doaj.art-5875ffd7e4cc49719dc7bea969753e442022-12-22T01:52:34ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952022-01-011503-418318710.2298/SARH211028023S0370-81792200023SThe effect of hemodialysis on macular thicknessŠobot Vesna0Jakšić Vesna1https://orcid.org/0000-0001-9941-7305Kovačević Igor2Lukić Dragan3University Clinical Center of Serbia, University Eye Clinic, Belgrade, SerbiaZvezdara University Medical Center, Prof. dr Ivan Stanković Clinic for Eye Diseases, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaUniversity Clinical Center of Serbia, University Eye Clinic, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaUniversity Clinical Center of the Republic of Srpska, Eye Clinic, Banja Luka, Bosnia and HerzegovinaIntroduction/Objective. During hemodialysis (HD) treatment great fluctuations were recorded in the systemic hemodynamic parameters and in the volume and composition of ocular fluid. There are only a few studies that analyzed the effect of HD on retinal and macular thickness with conflicting results. Objective of this study was to determine macular thickness, marked as central foveal thickness, average macular thickness and macular volume, shortly before and after HD. Methods. This prospective study included 30 chronic renal failure (CRF) patients of HD treatment. Thorough ophthalmologic examinations were performed including evaluation of best corrected visual acuity, intraocular pressure and slit-lamp examination of all eye segments. Macular thickness was determined by optical coherence tomography shortly before and after HD. The next parameters were evaluated: central foveal thickness, average macular thickness and macular volume. The correlation between systemic parameters and macular thickness changes during HD was tested. Results. There were significant changes in body weight and blood pressure pre- and post-HD. Results showed macular thickness (central foveal thickness, average macular thickness and macular volume) decreased, but the change was not significant. There was no significant correlation between systemic hemodynamic parameters and macular thickness changes. Conclusion. Results of this study showed there was no statistically significant changes in macular thickness CRF patient undergoing HD. Further research on a larger group of patients and a longer follow-up time are required to confirm these findings.http://www.doiserbia.nb.rs/img/doi/0370-8179/2022/0370-81792200023S.pdfmacular thicknesshemodialysisoptical coherence tomography
spellingShingle Šobot Vesna
Jakšić Vesna
Kovačević Igor
Lukić Dragan
The effect of hemodialysis on macular thickness
Srpski Arhiv za Celokupno Lekarstvo
macular thickness
hemodialysis
optical coherence tomography
title The effect of hemodialysis on macular thickness
title_full The effect of hemodialysis on macular thickness
title_fullStr The effect of hemodialysis on macular thickness
title_full_unstemmed The effect of hemodialysis on macular thickness
title_short The effect of hemodialysis on macular thickness
title_sort effect of hemodialysis on macular thickness
topic macular thickness
hemodialysis
optical coherence tomography
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2022/0370-81792200023S.pdf
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