Morphological and functional evaluation of visual disturbances in a bilateral hand allograft recipient.
Allograft recipients are exposed to risks owing to immunosuppression, and there is always the possibility that psychological issues interfere with the procedure's outcomes. An episode of blindness was suspected in a bilateral hand allograft recipient. The patient underwent a multidisciplinary evaluation, and clinical, electrophysiological, laboratory and a combination of functional and morphological magnetic resonance imaging (MRI) tests ruled out any visual process and revealed a secondary benefit, which turned out to be the use of privileges of the transplant support centre for several months. Composite tissue allograft recipients require a thorough psychological assessment before and after transplant procedures to prevent malingering.
Landin
L
L
Plastic & Reconstructive Surgery Division, La Fe University Hospital, Valencia, Spain. landin@ya.com
Cavadas
P C
PC
Nthumba
P
P
Muñoz
G
G
Gallego
R
R
Belloch
V
V
Avila
C
C
Loro
M
M
Ibañez
J
J
Roger
I
I
Linares-Martinez
N
N
D003937:Diagnosis, Differential; D004596:Electroretinography; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013315:Stress, Psychological / Q000150:complications*; D016378:Tissue Transplantation / Q000009:adverse effects*; D014184:Transplantation, Homologous; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology*
D007166:Immunosuppressive Agents