Diabetic retinopathy in newly diagnosed diabetes after kidney and liver transplantation

Authors

  • Aisha Hamid Birmingham, Solihull and Black Country Diabetic Eye Screening Programme, Birmingham Heartlands Hospital, Birmingham, UK
  • Surjit K Golar Birmingham, Solihull and Black Country Diabetic Eye Screening Programme, Birmingham Heartlands Hospital, Birmingham, UK
  • Helen M Wharton Birmingham, Solihull and Black Country Diabetic Eye Screening Programme, Birmingham Heartlands Hospital, Birmingham, UK
  • Margaret Clarke Birmingham, Solihull and Black Country Diabetic Eye Screening Programme, Birmingham Heartlands Hospital, Birmingham, UK
  • Alex Wright Birmingham, Solihull and Black Country Diabetic Eye Screening Programme, Birmingham Heartlands Hospital, Birmingham, UK

DOI:

https://doi.org/10.15277/bjd.2017.119

Keywords:

diabetic retinopathy, whole organ transplantation, post-transplant diabetes, screening.

Abstract

New onset of diabetes is a well-recognised complication of whole organ transplantation. Screening for diabetes-related complications is recommended once diabetes is diagnosed, but little is known about the microvascular complications in this group of patients. Of the 57 patients who were screened within two years of kidney and liver transplantation, 53 had assessable images and these showed background changes in ten patients (19%) and background with maculopathy in two patients (3.7%). The prevalence of retinopathy was similar to that reported in newly diagnosed type 2 diabetes. One of 35 patients developed maculopathy on limited follow-up. Further follow-up beyond two years will be required to document the natural history of diabetic retinopathy in this group of patients.

References

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Published

2017-03-21

Issue

Vol. 17 No. 1 (2017)

Section

Learning from practice

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