title: IMPACT OF RETINOPATHY SCREENINGS FOR PROSPECTIVE HEART TRANSPLANT CANDIDATES.
abstract: OBJECTIVE
  To determine the prevalence of retinopathy among patients undergoing heart transplantation screening and to determine the impact of this finding on eligibility for transplantation.
  
  
  METHODS
  A retrospective case series was collected to perform an institutional review of all inpatient consults for dilated eye examinations on potential heart transplant candidates over 5.5 years-from March 27, 2008 to October 10, 2014. Measured outcomes included the presence or absence of retinopathy and the effect of retinopathy, if present, on a patient's eligibility for cardiac transplantation.
  
  
  RESULTS
  A total of 155 heart transplant candidates underwent bedside ophthalmologic examination as part of their heart transplant candidacy workup. Retinopathy was found in 16 (10%) of these patients: diabetic retinopathy in 13 (8.4%) and hypertensive retinopathy in 3 (1.9%). None of these patients were excluded from the transplant candidacy based on the presence of retinopathy.
  
  
  CONCLUSIONS
  On bedside ophthalmologic examination, retinopathy is an uncommon finding among cardiac transplant candidates. Retinopathy did not preclude transplantation in these patients. We question the utility of the present system of bedside ophthalmic consultation of heart transplant candidates. This may not be an optimal allocation of provider resources. Further studies are warranted to determine an appropriate protocol for ocular evaluation of these patients.
authors.affiliation: *Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and †Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Shira S
authors.initials: SS
authors.lastname: Simon
authors.forename: Jane E
authors.initials: JE
authors.lastname: Wilcox
authors.forename: Alice T
authors.initials: AT
authors.lastname: Lyon
authors.forename: Lee M
authors.initials: LM
authors.lastname: Jampol
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000150:complications / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D007087:Illinois / Q000453:epidemiology; D015994:Incidence; D007297:Inpatients; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D000067716:Point-of-Care Testing; D057234:Preoperative Period; D015995:Prevalence; D011446:Prospective Studies; D012164:Retinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D012189:Retrospective Studies; D014792:Visual Acuity