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The eye in CHD.

Subha Nasir-Ahmad1, Rachael Cordina2, Gerald Liew3

  • 11Heart Research Institute,Newtown,NSW,Australia.

Cardiology in the Young
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Summary
This summary is machine-generated.

Adults with congenital heart disease (CHD) often experience ocular abnormalities due to their condition or medications. Regular eye screenings are crucial for early detection and management of these vision risks.

Keywords:
Adult CHDcoarctationcyanosisendocarditisocular pathology

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Area of Science:

  • Cardiology
  • Ophthalmology
  • Pharmacology

Background:

  • Increasing survival rates for congenital heart disease (CHD) lead to a growing adult population with complex medical needs.
  • Adults with CHD face various non-cardiac complications, including significant ocular abnormalities, stemming from their underlying condition or treatments.

Purpose of the Study:

  • To review and highlight the spectrum of ocular abnormalities in adults with CHD.
  • To examine the relationship between specific CHD conditions (cyanosis, coarctation of the aorta, endocarditis) and visual impairment.
  • To discuss the ocular side effects of commonly prescribed medications like Sildenafil and Amiodarone in this patient group.

Main Methods:

  • Systematic review of literature focusing on ocular manifestations in adult CHD.
  • Analysis of reported ocular changes associated with cyanosis, coarctation of the aorta, and endocarditis.
  • Evaluation of documented ocular side effects of Sildenafil and Amiodarone in the context of CHD management.

Main Results:

  • Changes in retinal vasculature are common in cyanotic patients and those with coarctation of the aorta.
  • Retinal vessel occlusion can occur in cyanotic CHD and infectious endocarditis.
  • Established ocular risks of Sildenafil (for pulmonary hypertension) and Amiodarone are summarized.

Conclusions:

  • Adults with CHD exhibit a high prevalence of ocular complications.
  • Awareness of these risks and appropriate, frequent ophthalmological screening are essential for managing visual health in adult CHD patients.