Clinical Ophthalmology (Sep 2023)

Eye Lesions in Patients After One Year of Kidney Transplantation

  • Trung NL,
  • Toan PQ,
  • Trung NK,
  • Tuan VA,
  • Huyen NT

Journal volume & issue
Vol. Volume 17
pp. 2861 – 2869

Abstract

Read online

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

Keywords