Nigerian Journal of Clinical Practice

CASE REPORT
Year
: 2018  |  Volume : 21  |  Issue : 7  |  Page : 942--944

Acute angle closure following hemodialysis in a 34-year-old Nigerian female


OO Olawoye1, T Ogunleye2, TF Sarimiye1, TO Bello2 
1 Department of Ophthalmology, College of Medicine, University of Ibadan, Department of Ophthalmology, University College Hospital, Ibadan, Nigeria
2 Department of Medicine, University College Hospital, Ibadan, Nigeria

Correspondence Address:
Dr. T F Sarimiye
Department of Ophthalmology, University College Hospital, Ibadan
Nigeria

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.


How to cite this article:
Olawoye O O, Ogunleye T, Sarimiye T F, Bello T O. Acute angle closure following hemodialysis in a 34-year-old Nigerian female.Niger J Clin Pract 2018;21:942-944


How to cite this URL:
Olawoye O O, Ogunleye T, Sarimiye T F, Bello T O. Acute angle closure following hemodialysis in a 34-year-old Nigerian female. Niger J Clin Pract [serial online] 2018 [cited 2022 Dec 3 ];21:942-944
Available from: https://www.njcponline.com/article.asp?issn=1119-3077;year=2018;volume=21;issue=7;spage=942;epage=944;aulast=Olawoye;type=0