https://scholars.lib.ntu.edu.tw/handle/123456789/560021
標題: | Ocular manifestations of patients receiving heart transplants: A single-center experience of 311 consecutive cases | 作者: | CHIEN-CHIA SU JENG-WEI CHEN NAI-KUAN CHOU YIH-SHARNG CHEN SHU-CHIEN HUANG NAI-HSIN CHI |
公開日期: | 2014 | 出版社: | Elsevier USA | 卷: | 46 | 期: | 3 | 起(迄)頁: | 937-940 | 來源出版物: | Transplantation Proceedings | 摘要: | Purpose The purpose of this study was to investigate ocular manifestations of patients undergoing heart transplantations. Method We retrospectively reviewed the clinical data of 311 patients who underwent orthotropic heart transplantations from January 1989 to December 2007, including the demographic data, general conditions, medications, as well as the basic ophthalmic examinations, ophthalmic diagnosis, and management. Results Of the 311 heart transplant recipients, common diagnoses included cataract (96 cases; 30.87%), dry eye syndrome (24 cases; 7.72%), allergic conjunctivitis (78 cases; 25.08%), and glaucoma (19 cases; 6.11%). The patients after heart transplantation had much lower incidences of severe opportunistic infections than patients undergoing the same procedure one decade ago. However, autoimmune-related endocrinopathy such as diabetes and Graves' disease became more prevalent. Diabetes-related complications were unexpectedly frequent, including nonproliferative diabetic retinopathy (6 cases; 1.93%), proliferative diabetic retinopathy (6 cases; 1.93%), retinal vein occlusion (6 cases; 1.93%), and neovascular glaucoma (4 cases; 1.29%). The occurrence of cataract formation and steroid glaucoma was often due to post-transplantation steroid use. Conclusion Ophthalmologists and cardiac surgeons should collaborate and perform regular ophthalmic examinations, especially for those who have new-onset diabetes and difficulty tapering off steroids. ? 2014 by Elsevier Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899560862&doi=10.1016%2fj.transproceed.2013.11.149&partnerID=40&md5=558f70e5299b9d38fd025ba3cfdebf2d https://scholars.lib.ntu.edu.tw/handle/123456789/560021 |
ISSN: | 0041-1345 | DOI: | 10.1016/j.transproceed.2013.11.149 | SDG/關鍵字: | amiodarone; immunosuppressive agent; steroid; adult; allergic conjunctivitis; branch retinal vein occlusion; cataract; central retina vein occlusion; central serous retinopathy; clinical feature; conference paper; demography; diabetes mellitus; diabetic retinopathy; dry eye; epiretinal membrane; eye disease; eye examination; female; glaucoma; Graves disease; heart graft; heart transplantation; herpes zoster ophthalmicus; human; incidence; keratoconjunctivitis; keratopathy; lens subluxation; major clinical study; male; myopic maculopathy; neovascular glaucoma; opportunistic infection; priority journal; retina detachment; retina macula age related degeneration; retina maculopathy; retina vein occlusion; retrospective study; classification; Eye Diseases; heart transplantation; middle aged; Adult; Eye Diseases; Female; Heart Transplantation; Humans; Male; Middle Aged; Retrospective Studies |
顯示於: | 醫學系 |
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