helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2022-15-1-140-145helmholtzeyeinstitute-901Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSВнутриглазное давление, глазная боль и гемодиализIntraocular pressure, eye pain and hemodialysisКозинаЕ. В.KozinaE. V.

Елена Владимировна Козина - д-р мед. наук, доцент, заведующий кафедрой офтальмологии с курсом последипломного образования им. проф. М.А. Дмитриева

ул. Партизана Железняка, д. 1, Красноярск, 660022

Elena V. Kozina - Dr. of Med. Sci., associate professor, head of the chair of ophthalmology

1, Partizan Zheleznyak St., Krasnoyarsk, 660022

БалашоваП. М.BalashovaP. M.

Полина Михайловна Балашова - ассистент кафедры офтальмологии с курсом последипломного образования им. проф. М.А. Дмитриева

ул. Партизана Железняка, д. 1, Красноярск, 660022

Polina M. Balashova - assistant professor, chair of ophthalmology

1, Partizan Zheleznyak St., Krasnoyarsk, 660022

doctor-polly@mail.ruИвлиевС. В.IvlievS. V.

Сергей Викторович Ивлиев - канд. мед. наук, ассистент кафедры терапии института последипломного образования

ул. Партизана Железняка, д. 1, Красноярск, 660022

Sergey V. Ivliev - Cand. of Med. Sci., assistant professor, chair of therapy

1, Partizan Zheleznyak St., Krasnoyarsk, 660022

ФГБОУ ВО «Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого» Минздрава РоссииРоссияProf. V.F. Voino-Yasenetsky Krasnoyarsk State Medical UniversityRussian Federation202226032022151140145Copyright © Козина Е.В., Балашова П.М., Ивлиев С.В., 20222022Козина Е.В., Балашова П.М., Ивлиев С.В.Kozina E.V., Balashova P.M., Ivliev S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://roj.igb.ru/jour/article/view/901

Внутриглазное давление, глазная боль и гемодиализПредставлены данные о влиянии программного гемодиализа на состояние внутриглазного давления (ВГД) у больных с терминальной стадией хронической почечной недостаточности. Лечение гемодиализом сопровождается различными эффектами: от понижения ВГД до развития офтальмогипертензии с болевым синдромом. Состояние радужно-роговичного угла, неоваскуляризация структур дренажной системы глаза, наличие глаукомного процесса являются значимыми, но не бесспорными факторами риска болевой диализной офтальмогипертензии. Их сочетание с влиянием на осмолярный баланс диализной терапии повышает вероятность формирования глазного гипертензионного синдрома. Проблемы устранения диализной глазной боли и возможности прогрессирования глаукомного процесса, обусловленного диализными колебаниями ВГД, сохраняют свою актуальность.

The review presents data on the effect of program hemodialysis on the state of intraocular pressure in patients with terminal chronic renal failure. Treatment with hemodialysis is accompanied by various effects: from intraocular pressure drop to the development of ophthalmic hypertension with pain syndrome. The state of the iris-corneal angle, neovascularization of the structures of the eye drainage system and the presence of glaucoma are significant, but not indisputable, risk factors for pain-related dialysis ophthalmic hypertension. Their combination with the effect on the osmolar balance of dialysis therapy increases the possibility of the formation of ocular hypertension syndrome formation. The need to eliminate dialysis eye pains and the chance of glaucoma progression due to dialysis-affected fluctuations of intraocular pressure remains relevant.

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The authors declare that there are no conflicts of interest present.