A comparative study of the effect of conventional hemodialysis versus hemodiafiltration on the eye

Background and aim Hemodiafiltration (HDF) seems to be the gold standard concerning dialysis-aided renal replacements. Hemodialysis (HD) and severe renal failure both have visual side effects, including high intraocular pressure, band keratopathy, macular leakage, red eyes, retinal hemorrhage, and o...

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Main Authors: Hesham E. Abdalmonem, Hosny A. Younos, Aldosoky Abd Elaziz Alsaid, Ahmed A. Abdelgbar, Ayman Abdelaziz
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-04-01
Series:Al-Azhar Assiut Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/azmj.azmj_53_22
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author Hesham E. Abdalmonem
Hosny A. Younos
Aldosoky Abd Elaziz Alsaid
Ahmed A. Abdelgbar
Ayman Abdelaziz
author_facet Hesham E. Abdalmonem
Hosny A. Younos
Aldosoky Abd Elaziz Alsaid
Ahmed A. Abdelgbar
Ayman Abdelaziz
author_sort Hesham E. Abdalmonem
collection DOAJ
description Background and aim Hemodiafiltration (HDF) seems to be the gold standard concerning dialysis-aided renal replacements. Hemodialysis (HD) and severe renal failure both have visual side effects, including high intraocular pressure, band keratopathy, macular leakage, red eyes, retinal hemorrhage, and optical neuropathy. The purpose of this study is to examine the impact of routine conventional HD versus routine HDF on ocular problems in individuals with chronic kidney disease (CKD). Patients and methods This prospective cross-sectional observational study was conducted on 200 patients divided into 100 patients of CKD on regular HD three times weekly (4 h duration) (HD group) and 100 patients of CKD on regular HDF three times weekly (4 h duration) (HDF group). clinical interview, routine laboratory tests, and complete eye examination were done on all participants. Results Prior to treatment, there was no significant difference between the HDF and HD categories for either eye’s central foveal thickness, average macular thickness, visual acuity, intraocular pressure, anterior segment, or fundus examination. In addition, no significant difference was observed between both groups after therapy in both eyes. Conclusion Regular HDF and HD treatments administered for 6 months each had no negative impact on ocular parameters.
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spelling doaj-art-a758b1c2de86435b9202388e8ebe41042025-01-17T15:30:14ZengWolters Kluwer Medknow PublicationsAl-Azhar Assiut Medical Journal1687-16932023-04-01212748210.4103/azmj.azmj_53_22A comparative study of the effect of conventional hemodialysis versus hemodiafiltration on the eyeHesham E. AbdalmonemHosny A. YounosAldosoky Abd Elaziz AlsaidAhmed A. AbdelgbarAyman AbdelazizBackground and aim Hemodiafiltration (HDF) seems to be the gold standard concerning dialysis-aided renal replacements. Hemodialysis (HD) and severe renal failure both have visual side effects, including high intraocular pressure, band keratopathy, macular leakage, red eyes, retinal hemorrhage, and optical neuropathy. The purpose of this study is to examine the impact of routine conventional HD versus routine HDF on ocular problems in individuals with chronic kidney disease (CKD). Patients and methods This prospective cross-sectional observational study was conducted on 200 patients divided into 100 patients of CKD on regular HD three times weekly (4 h duration) (HD group) and 100 patients of CKD on regular HDF three times weekly (4 h duration) (HDF group). clinical interview, routine laboratory tests, and complete eye examination were done on all participants. Results Prior to treatment, there was no significant difference between the HDF and HD categories for either eye’s central foveal thickness, average macular thickness, visual acuity, intraocular pressure, anterior segment, or fundus examination. In addition, no significant difference was observed between both groups after therapy in both eyes. Conclusion Regular HDF and HD treatments administered for 6 months each had no negative impact on ocular parameters.https://journals.lww.com/10.4103/azmj.azmj_53_22anterior segmentaverage macular thicknesscentral foveal thicknesschronic kidney diseasefundushemodiafiltrationhemodialysisintraocular pressurevisual acuity
spellingShingle Hesham E. Abdalmonem
Hosny A. Younos
Aldosoky Abd Elaziz Alsaid
Ahmed A. Abdelgbar
Ayman Abdelaziz
A comparative study of the effect of conventional hemodialysis versus hemodiafiltration on the eye
Al-Azhar Assiut Medical Journal
anterior segment
average macular thickness
central foveal thickness
chronic kidney disease
fundus
hemodiafiltration
hemodialysis
intraocular pressure
visual acuity
title A comparative study of the effect of conventional hemodialysis versus hemodiafiltration on the eye
title_full A comparative study of the effect of conventional hemodialysis versus hemodiafiltration on the eye
title_fullStr A comparative study of the effect of conventional hemodialysis versus hemodiafiltration on the eye
title_full_unstemmed A comparative study of the effect of conventional hemodialysis versus hemodiafiltration on the eye
title_short A comparative study of the effect of conventional hemodialysis versus hemodiafiltration on the eye
title_sort comparative study of the effect of conventional hemodialysis versus hemodiafiltration on the eye
topic anterior segment
average macular thickness
central foveal thickness
chronic kidney disease
fundus
hemodiafiltration
hemodialysis
intraocular pressure
visual acuity
url https://journals.lww.com/10.4103/azmj.azmj_53_22
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