Clinical Ophthalmology (Sep 2023)
Eye Lesions in Patients After One Year of Kidney Transplantation
Abstract
Nguyen Le Trung,1,2 Pham Quoc Toan,3 Nguyen Kien Trung,4 Vu Anh Tuan,1 Nguyen Thu Huyen5 1Vietnam Department of Ophthalmology, Hanoi Medical University, Hanoi, Vietnam; 2Vietnam Department of Ophthalmology, Military Hospital 103, Hanoi, Vietnam; 3Vietnam Department of Nephrology, Military Hospital 103, Hanoi, Vietnam; 4Vietnam Department of Trauma, National Eye Hospital, Hanoi, Vietnam; 5Vietnam Department of Ophthalmology, National Military Hospital 108, Hanoi, VietnamCorrespondence: Pham Quoc Toan, Email [email protected]: Determine the incidence of some eye lesions in kidney transplant patients after one year at Military Hospital 103 and comment on related factors.Patients and Methods: A cross-sectional study description of 111 kidney transplant patients (222 eyes) at Military Hospital 103. We assessed several eye lesions, including dry eyes, corneal conjunctival calcification, cataracts, and retinopathy.Results: The rate of retinopathy was 84.7%, dry eye was 59.5%, cataract was 29.7%, and corneal conjunctival calcification was 24.8%, atrophy optic nerve was 9.9%, epiretinal membrane was 1.8%. Post-transplant influence factors associated with cataracts include the dose of prednisolone (OR= 1.6, p < 0.05) and post-transplant diabetes (OR=1.4, p < 0.05). The influence factor related to the atrophy of the optic nerve is systemic infection after transplantation (OR=2.4, p < 0.05).Conclusion: Retinopathy accounted for the highest rate, followed by dry eye disease; cataracts ranked third; and finally, calcified corneal conjunctiva. Factors that affect cataracts are diabetes mellitus and prednisolone dose. Factors affecting optic nerve atrophy are infections after kidney transplantation.Keywords: kidney transplant, corneal conjunctival calcification, dry eyes, hypertensive retinopathy
