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In vivo Structural Assessments of Ocular Disease in Rodent Models using Optical Coherence Tomography
Published on: July 24, 2020
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.
Purpose:
To describe the ocular findings in subjects with congenital heart disease (CHD).
Methods:
In a prospective study, the same observer examined 240 consecutive patients with CHD admitted to the medical centre. Two independent geneticists performed identification of syndromes.
Results:
The commonest anatomic cardiac anomalies were ventricular or atrial septal defects (62), tetralogy of Fallot (39), pulmonary stenosis (25), and transposition of the great arteries (24). The heart lesions were divided physiologically into volume overload (90), cyanotic (87), and obstructive (63). In all, 105 syndromic subjects included the velocardiofacial syndrome (18), Down's syndrome (17), CHARGE association (6), DiGeorge syndrome (5), Williams syndrome (3), Edwards syndrome (3), Noonan syndrome (3), VACTERL association (2), and Patau syndrome (trisomy 13) (2). The paediatric team recognized 51 patients as syndromic. Two independent geneticists recognized additional 54 patients as syndromic. Positive eye findings were present in 55% (132) and included retinal vascular tortuosity (46), optic disc hypoplasia (30), trichomegaly (15), congenital ptosis (12), strabismus (11), retinal haemorrhages (8), prominent eyes (7), and congenital cataract (6). There was a strong correlation between the retinal vascular tortuosity and both a low haematocrit (P=0.000) and a low arterial oxygen saturation (P=0.002).
Conclusions:
Patients with CHD are at a high risk for ocular pathology and need screening for various ocular abnormalities.
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