[Bilateral central retinal vein occlusion associated with moderate acute rejection of a cardiac graft].
We report a case of bilateral central retinal vein occlusion following moderate acute rejection of a cardiac transplant. A 27-year-old man was admitted for sudden bilateral decreased vision due to bilateral central retinal vein occlusion. Visual acuity was 20/63 in the right eye and 20/25 in the left eye. This patient had undergone a heart transplant 6 months before and had presented with moderate acute rejection for a few days. The moderate acute rejection phenomenon includes inflammatory lymphocyte infiltrates, reflecting persistent immune response activation. Moderate acute rejection of a cardiac transplant graft might cause a bilateral central retinal vein occlusion.
Auriol
S
S
Service d'Ophtalmologie, CHU de Rangueil, Toulouse.
Ranty
M L
ML
Dabadie
B
B
Mathis
A
A
Quintyn
J C
JC
D000208:Acute Disease; D000328:Adult; D009202:Cardiomyopathies / Q000601:surgery; D002924:Ciliary Body / Q000601:surgery; D003452:Cryosurgery; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D015355:Glaucoma, Neovascular / Q000175:diagnosis / Q000209:etiology / Q000276:immunology / Q000628:therapy; D006084:Graft Rejection / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology / Q000628:therapy; D016027:Heart Transplantation / Q000276:immunology; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D008028:Light Coagulation; D008269:Macular Edema / Q000175:diagnosis / Q000209:etiology / Q000276:immunology / Q000628:therapy; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology / Q000628:therapy; D012086:Reoperation; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000276:immunology / Q000628:therapy; D012170:Retinal Vein Occlusion / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology / Q000628:therapy; D015348:Vision, Binocular; D014792:Visual Acuity
D007166:Immunosuppressive Agents