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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Retinal vein occlusion in solid organ transplant recipients. Study of 4 cases an...
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Vol. 95. Issue 12.
Pages 615-618 (December 2020)
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Vol. 95. Issue 12.
Pages 615-618 (December 2020)
Short communication
Retinal vein occlusion in solid organ transplant recipients. Study of 4 cases and literature review
Obstrucción venosa retiniana en receptores de trasplante de órgano sólido. Estudio de 4 casos y revisión de la literatura
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A. Cerveróa,
Corresponding author
andreacervero27@gmail.com

Corresponding author.
, P. González Boresb, A. Casadoa, M.D. Ruiz Sanchoa, J.L. Hernández Hernándezb,c, J.J. Napal Lecumberrib
a Servicio de Oftalmología, Hospital Universitario Marqués de Valdecilla-IDIVAL, Santander, Spain
b Departamento de Medicina Interna, Hospital Universitario Marqués de Valdecilla-IDIVAL, Santander, Spain
c Universidad de Cantabria, Santander, Spain
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Table 1. Clinic characteristics and ophthalmological treatment of 4 RVO patients with transplants (cases 1–4).
Abstract

Although retinal venous obstruction (RVO) has been primarily related to vascular risk factors and glaucoma, there are a few studies of RVO in patients with solid organ transplants.

An analysis was performed on total of 331 patients who presented with RVO (branch RVO in 226 cases and central RVO in 105 cases) over a 10 year period, and the characteristics were compared with the 4 patients with a history of solid organ transplant (liver, renal, or bipulmonary) who presented with RVO. In this series, the onset of RVO in transplant patients occurred at earlier ages than in other patients with RVO (58 vs. 68 years, respectively), affected the central vein of the retina (100% vs. 32%), and was associated with diabetes mellitus (75% vs. 25%), as well as with steroidal (100% vs. 1%) and immunosuppressive (tacrolimus 75% vs. 0%) treatments.

Keywords:
Retinal vein occlusion
Vascular risk factors
Solid organ transplant
Resumen

La obstrucción venosa retiniana (OVR) se ha relacionado fundamentalmente con los factores de riesgo vascular y con el glaucoma; sin embargo, existen pocos estudios de la OVR en pacientes con trasplante de órgano sólido.

Se analizó una serie de 331 pacientes que presentaron OVR (de rama en 226 casos y central en 105 casos) a lo largo de 10 años y se compararon las características entre los 4 pacientes con antecedente de trasplante de órgano sólido (hepático, renal o bipulmonar) que presentaron una OVR y el resto. En nuestra serie la OVR en los trasplantados comenzó a edades más tempranas que en el resto de pacientes con OVR (58 vs. 68 años, respectivamente), afectó a la vena central de la retina (100% vs. 32%) y se asoció con la diabetes mellitus (75% vs. 25%) y con los tratamientos esteroideo (100% vs. 1%) e inmunosupresor (tacrolimus 75% vs. 0%).

Palabras clave:
Obstrucción venosa retiniana
Factores de riesgo vascular
Trasplante de órgano sólido

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