Intraocular Pressure Change by the Hemodialysis

The effect of hemodialysis on intraocular pressure(IOP) was studied in 20 non-glaucomatous patients(40 eyes) with chronic renal failure. The IOP, body weight and systolic blood pressure were measured at pre- and post-hemodialysis and at every hour during 4 hours' hemodialysis period. IOP(Right: 13.4 +/- 2.2mmHg, Left: 13.9 +/- 2.3mmHg) was measured before hemodialysis. Following hemodialysis, blood pressure and body weight decreased significantly(P<0.05) and IOP increased significantly(Right: 14.2 +/- 2.5mmHg, Left: 14.8 +/- 2.6mmHg, P<0.05). However, there Was not statistical significance between increased IOP and the decreased body weight(Right r=0.05, Left r=-0.03) and systolic blood pressure(Right r=-0.05, Left r=0.23). This study shows that chronic renal failure patients may have a possibility for increased IOP after long period hemodialysis.

A Case of Rieger's Syndrome Associated with Controlled Glaucoma

Rieger's syndrome is a rare autosomal dominant developmental anomaly characterized by ocular and systemic abnomalities. These disorders are typically bilateral and usually diagnosed at birth or in the childhood. The most common ocular defects are hypoplasia of the iris, a prominent Schwalbe's line with iris strands and corectopia. A large number of patients have glaucoma due to devel-opmental defects of the anterior chamber angle structure. The authors experienced a case of Rieger's syndrome which was found in 31-year-old female, who had characteristic ocular and other systemic abnormalities. Associated glaucoma was well controlled by filtering surgery.