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Anterior chamber depth during hemodialysis

Authors Gracitelli CPB, Stefanini FR, Penha F, Góes M, Draibe SA, Canziani ME, Paranhos Junior A

Received 30 March 2013

Accepted for publication 23 May 2013

Published 12 August 2013 Volume 2013:7 Pages 1635—1639

DOI https://doi.org/10.2147/OPTH.S45952

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3


Carolina Pelegrini Barbosa Gracitelli,1 Francisco Rosa Stefanini,1 Fernando Penha,1 Miguel Ângelo Góes,2 Sérgio Antonio Draibe,2 Maria Eugênia Canziani,2 Augusto Paranhos Junior1

1Ophthalmology Department, 2Division of Nephrology, Federal University of São Paulo – UNIFESP, São Paulo, Brazil

Background: Exacerbation of chronic glaucoma or acute glaucoma is occasionally observed in patients undergoing hemodialysis (HD) because of anterior chamber depth changes during this therapy.
Purpose: To evaluate anterior chamber depth and axial length in patients during HD sessions.
Methods: A total of 67 eyes of 35 patients were prospectively enrolled. Axial length and anterior chamber depth were measured using ultrasonic biometry, and these measures were evaluated at three different times during HD sessions. Body weight and blood pressure pre- and post-HD were also measured.
Results: There was no difference in the axial length between the three measurements (P = 0.241). We observed a significantly decreased anterior chamber depth (P = 0.002) during HD sessions.
Conclusion: Our results support the idea that there is a change in anterior chamber depth in HD sessions.

Keywords: anterior chamber, hemodialysis, axial length, acute angle-closure glaucoma

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