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Treatment and non-treatment related ocular manifestations in patients with chronic hepatitis B or C
A Tsoumani1, V Theopistos, K Katsanos
1Department of Ophthalmology, University Hospital of Ioannina, Ioannina, Greece. vasileios.theopistos@gmail.com
Insights
Chronic hepatitis B (HBV) and C (HCV) infections can cause serious eye problems. Reviewing the literature reveals dry eye syndrome and retinopathy as key ocular manifestations, with potential links to HBV vaccines and uveitis.
Area of Science:
- Ophthalmology
- Hepatology
- Infectious Diseases
Background:
- Chronic hepatitis B (HBV) and hepatitis C (HCV) infections affect millions globally.
- Beyond liver damage, these viral infections can lead to significant extrahepatic manifestations.
- Ocular complications are increasingly recognized in both HBV and HCV infections.
Purpose of the Study:
- To review the ocular manifestations associated with HBV and HCV infections.
- To examine eye conditions resulting from chronic hepatitis viral infections or their therapies.
- To consolidate current knowledge on hepatitis-related eye diseases.
Main Methods:
- A comprehensive literature search was performed using PubMed.
- Keywords included "hepatitis," "ocular," and "eye."
- The review focused on studies detailing ocular symptoms linked to HBV and HCV.
Main Results:
- HCV infection is associated with dry eye syndrome (similar to Sjögren's syndrome) and ischemic retinopathy.
- Retinopathy can result from HCV-induced vasculitis or interferon therapy.
- HBV infection primarily presents with dry eye syndrome; other serious ocular manifestations are rare.
- Potential links between HBV vaccination and uveitis warrant further investigation.
Conclusions:
- Ocular manifestations of HCV are well-documented, including dry eye and retinopathy.
- HBV infection is less commonly associated with severe ocular issues, mainly dry eye.
- The potential association between HBV vaccines and uveitis requires careful consideration and further research.
Background:
Worldwide, 480-520 million people are chronically infected with hepatitis B or C virus. In addition to their effects in the liver, chronic hepatitis viral infections may have serious extra hepatic manifestations. These manifestations have been more widely studied in chronic HCV infection, where they are more frequently described, but they have been also reported chronic HBV infection.
Aim:
Among those, of great interest are the ocular manifestations caused by the HBV or HCV infection or induced by chronic hepatitis therapy. These we attempted to review.
Materials And Methods:
A PubMed search was conducted using the terms hepatitis, ocular, eye.
Results:
This article describes the ocular symptoms related to HBV and HCV hepatitis such as xerophthalmia, Mooren's ulcer and retinopathy as well as other rare manifestations caused by either the infection or the therapy.
Conclusions:
The ocular manifestations of HCV infections best supported by the literature include a dry eye syndrome similar to Sjögren's syndrome, and ischemic retinopathy caused by either HCV-induced vasculitis or treatment with interferon. There are no serious ocular manifestations of HBV infection other than dry eye syndrome. Special consideration should be held for possible connection between HBV vaccine and uveitis.
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