Ocular pathology in congenital heart disease

A M Mansour1, F F Bitar, E I Traboulsi

  • 1Department of Ophthalmology, American University of Beirut, Beirut, Lebanon. dr.ahmad@cyberia.net.lb

Insights

Congenital heart disease (CHD) significantly increases the risk of eye problems. Regular screening for ocular abnormalities is crucial for affected individuals.

Area of Science:

  • Ophthalmology and Cardiology
  • Pediatric Medicine
  • Clinical Genetics

Background:

  • Congenital heart disease (CHD) encompasses a range of structural heart abnormalities present at birth.
  • Previous research suggests a potential link between cardiac anomalies and ocular manifestations.
  • Understanding these associations is vital for comprehensive patient care and early detection of complications.

Purpose of the Study:

  • To systematically document and analyze the spectrum of ocular findings in patients diagnosed with congenital heart disease (CHD).
  • To identify specific ocular abnormalities associated with different types of CHD and syndromic conditions.
  • To establish the prevalence of eye conditions in a cohort of CHD patients.

Main Methods:

  • A prospective study involving the examination of 240 consecutive patients with CHD by a single observer.
  • Independent geneticists identified syndromic conditions in the patient cohort.
  • Data collection included detailed ocular examinations and cardiac anomaly classification.

Main Results:

  • Common cardiac anomalies included septal defects, tetralogy of Fallot, and pulmonary stenosis.
  • Ocular findings were present in 55% of patients, with retinal vascular tortuosity, optic disc hypoplasia, and trichomegaly being most frequent.
  • Retinal vascular tortuosity showed a strong correlation with low hematocrit and arterial oxygen saturation.

Conclusions:

  • Patients with congenital heart disease (CHD) exhibit a high prevalence of ocular pathologies.
  • Routine ophthalmic screening is recommended for individuals with CHD to detect and manage associated eye abnormalities.
  • Early identification of ocular issues can contribute to improved patient outcomes and quality of life.
Abstract

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