Ocular features of transplant recipients
Patient/ age/sex | Diagnosis | Eye involved | Symptoms | Signs | Investigations | Complications | Treatment | Visual outcome |
---|---|---|---|---|---|---|---|---|
1/53/M | ARN | L | Blurred vision, floaters | Vitritis, retinitis | Nil | Retinal detachment | Scleral buckle | HM |
2/56/M | ARN | R | Blurred vision, floaters | Vitritis, retinitis | Nil | Nil | Aciclovir, barrier laser | 6/6, 6/9 |
3/43/F | ARN | L | Blurred vision | Vitritis, retinitis, papillitis | Nil | Nil | Aciclovir, barrier laser | 6/6 |
4/51/M | ARN | R | Blurred vision | Vitritis, retinitis | FA, histopathology | Vitreous haemorrhage, retinal detachment, neovascular glaucoma | Ganciclovir Molteno implant, enucleation | NLP |
5/52/M | ARN | R | Floaters, blurred vision | Vitritis, retinitis | Nil | Nil | Aciclovir, barrier laser | 6/6 |
6/36/M | CMV | R | Floaters, epiphora, constricted field | Vitritis, retinitis, diabetic retinopathy | Nil | Vitreous haemorrhage | Ganciclovir, vitrectomy | 6/24 |
7/52/M | CMV | R | Blurred vision | Vitritis, retinitis | Nil | Macular cyst | Ganciclovir | 6/18, 6/12 |
8/50/M | CMV | R | Blurred vision, floaters | Vitritis, retinitis | Nil | Nil | Ganciclovir | 6/6 |
9/53/F | Fungal | R | Pain, red eye | Vitritis, subretinal mass | Choroidal biopsy | Retinal hole+detachment | Fluconazole | NLP |
10/57/M | Fungal | R | Bilateral chemosis | Chemosis, choroidal infiltrates | Nil | Nil | Ketoconazole, itraconazole | 6/6, 6/6 |
11/36/F | Herpetic keratitis | L | Pain, red eye | Dendritic ulcer | Nil | Nil | Topical aciclovir | 6/5 |
12/63/M | Herpetic keratitis | R | Pain, red eye | Dendritic ulcer | Nil | Nil | Topical aciclovir | 6/5 |
13/37/F | PTLD | R | Blurred vision | Choroidal infiltrates | FFA, choroidal biopsy, vitreous biopsy | Nil | Reduced cyclosporin radiotherapy | 6/18, CF |
14/53/M | HZO | R | Rash | Rash | Nil | Nil | Aciclovir | 6/6 |
15/62/M | CRVO | L | Blurred vision | Retinal haemorrhages | FFA, ophthalmodynamometry | Cystoid macular oedema | Steroids, warfarin, hyperbaric oxygen | 6/60 |
16/62/M | Dacryocystitis | R | Tender mass at lacrimal sac | Painful red lump | Wound culture | Nil | Flucloxacillin | 6/6 |
17/26/M | RV | L | Visual loss | Vitritis, papillitis, retinal oedema, retinal haemorrhages | FFA serology | Nil | Observation | 6/6 |
18/54/M | Cyclosporin retinopathy | R | L scotoma | Bilateral disc swelling | Ct lp ffa | Optic atrophy | Diamox | 6/9, 6/6 |
19/56/F | Rifabutin uveitis | R | Pain, blurred vision | Hypopyon, uveitis | Nil | Nil | Topical corticosteroids | 6/6, 6/6 |