Posterior segment complications and the risk factors after allogeneic hematopoietic stem cell transplantation

Boyu Yang1, Shaowen Wu1, Shanshan Yu1

  • 1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China.

Eye (London, England)
|September 17, 2022
PubMed

Insights

Posterior segment complications (PSC) after allogeneic hematopoietic stem cell transplantation (HSCT) are more common than previously thought. Unrelated or HLA-mismatched donors increase the risk of PSC in HSCT patients.

Area of Science:

  • Ophthalmology
  • Hematology
  • Transplantation Medicine

Background:

  • Allogeneic hematopoietic stem cell transplantation (HSCT) is a life-saving procedure.
  • Posterior segment complications (PSC) can affect visual outcomes in HSCT recipients.
  • Understanding risk factors for PSC is crucial for patient management.

Purpose of the Study:

  • To investigate the prevalence of PSC in patients undergoing allogeneic HSCT.
  • To identify risk factors associated with the development of PSC post-HSCT.
  • To evaluate the relationship between PSC and ocular Graft-versus-Host Disease (oGVHD).

Main Methods:

  • A cross-sectional, case-control study included 143 allogeneic HSCT patients.
  • Comprehensive ocular examinations assessed PSC and oGVHD.
  • Diagnostic tools included fundus examinations, visual-evoked potential, and oGVHD scoring systems.

Main Results:

  • PSC was detected in 25.2% of patients.
  • Cytomegalovirus retinitis (9.1%) and visual pathway pathology (4.9%) were the most common PSC.
  • PSC was significantly associated with unrelated (OR=6.494) and HLA-mismatched (OR=7.193) donors.

Conclusions:

  • PSC is a notable complication following HSCT, occurring more frequently than previously recognized.
  • Ophthalmologists should be vigilant for PSC in HSCT patients.
  • Patients receiving transplants from unrelated or HLA-mismatched donors require particular attention for PSC risk.
Abstract

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