Effect of Hemodialysis on Peripapillary Choroidal Thickness Measured by Swept-Source Optical Coherence Tomography. Issue 6 (June 2021)

• Record Type: Journal Article
• Authors: Lee, Won June; Hong, Rimkyung; Kang, Min Ho; Cho, Heeyoon; Han, Sang-Woong; Yi, Joo-Hark; Shin, Yong Un; Seong, Mincheol
• Is Part Of: Journal of glaucoma. Volume 30:Issue 6(2021)
• Publication Date: 2021-06
• Subjects: swept-source optical coherence tomography -- hemodialysis -- peripapillary choroidal thickness -- optic nerve head -- end-stage kidney disease; Glaucoma -- Periodicals; 617.741005
• DOI: 10.1097/IJG.0000000000001762
• Languages: English
• ISSNs: 1057-0829

Abstract

Abstract : Purpose: The aim was to investigate the effects of hemodialysis (HD) on peripapillary choroidal thickness (PCT) by swept-source optical coherence tomography and on other ophthalmologic parameters in patients with end-stage kidney disease. Materials and Methods: This was a prospective observational study. The authors evaluated 29 patients who underwent HD for end-stage kidney disease. Detailed ophthalmologic examinations and swept-source optical coherence tomography were performed immediately before and after HD. PCT was measured using the modification tool in the built-in OCT image viewer program. Changes in PCT before and after HD were statistically analyzed. Results: The average PCT significantly decreased from 127.3±49.2 μm before HD to 117.1±50.9 μm after HD ( P <0.001). A significant correlation was found between changes in PCT and macular choroidal thickness (ρ=0.547, P =0.002). Changes in mean ocular perfusion pressure did not significantly correlate with changes in PCT (ρ=−0.049, P =0.803). Conclusions: PCT significantly decreased after HD. HD could influence the optic nerve head and its surrounding structures. Abstract : Supplemental Digital Content is available in the text.