Eye disease in kidney transplantation: Clinical challenges in a unique patient population

Authors

Eisha K. Multani, My Eye Dr Optometrists LLC, Washington, District of Columbia, USA.
Dalvir Bajwa, The Newcastle Upon Tyne Hospitals, NHS Foundation Trust, Royal Victoria Infirmary, Newcastle Upon Tyne, United Kingdom.
Priyanika K. Multani, Inland Vision Center Optometry, San Bernadino, California, USA.
Ehsan Nobakht, Division of Kidney Disease & Hypertension, George Washington University, Washington, District of Columbia, USA.
Dominic Raj, Division of Kidney Disease & Hypertension, George Washington University, Washington, District of Columbia, USA.
Rohan S. Paul, Division of Kidney Disease & Hypertension, George Washington University, Washington, District of Columbia, USA. Electronic address: ropaul@mfa.gwu.edu.

Document Type

Journal Article

Publication Date

7-1-2022

Journal

Survey of ophthalmology

Volume

67

Issue

4

DOI

10.1016/j.survophthal.2021.12.007

Keywords

Chronic kidney disease; Endstage renal disease; Immunosuppression; Kidney transplantation; Opportunistic infection; Solid organ transplantation

Abstract

Eye disease is common among kidney transplant recipients, and their management is challenging. Chronic kidney disease is associated with ocular complications, both independently and in the context of various systemic disorders. In addition, chronic immunosuppression predisposes kidney transplant recipients to an array of long-term ocular issues. This may be broadly categorized into infections, malignancies, and other immunosuppression-specific side effects. The interdependence of kidney disease, transplant pharmacotherapy, and ocular health, therefore, requires a multispecialty approach. Although the kidney transplant population has grown along with the burden of associated oculopathies, systematic guidelines targeting this patient group are lacking. This evidenced-based narrative review summarizes the pertinent issues that may present in the ophthalmic and optometric clinical settings, with emphasis on collaborative management and directions for future research.

APA Citation

Multani, Eisha K.; Bajwa, Dalvir; Multani, Priyanika K.; Nobakht, Ehsan; Raj, Dominic; and Paul, Rohan S., "Eye disease in kidney transplantation: Clinical challenges in a unique patient population" (2022). GW Authored Works. Paper 1412.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/1412

Department

Medicine