Balasubramaniam Saranya C, Raja Harish, Nau Cherie B, Shen Joanne F, Schornack Muriel M
Department of Ophthalmology (S.C.B., H.R., C.B.N., M.M.S.), Mayo Clinic, Rochester, MN; and Department of Ophthalmology (J.F.S.), Mayo Clinic, Scottsdale, AZ.
Eye Contact Lens. 2015 Sep;41(5):256-61. doi: 10.1097/ICL.0000000000000150.
Hematopoietic stem cell transplantation is important in the management of several lymphoproliferative and bone marrow disorders. Graft-versus-host disease (GVHD) involves inflammatory manifestations that arise after transplant and can affect many organs. Ocular manifestations of GVHD are common, and eye care providers must understand this disease entity. The ocular surface is most commonly involved, but GVHD can affect all parts of the eye. Ocular GVHD can be relapsing and remitting, can decrease quality of life, and can be challenging to diagnose and adequately treat. The diagnostic criteria for and grading of ocular GVHD continue to evolve. This review aims to summarize current definitions, clinical findings, diagnostic criteria, and management of ocular GVHD. The care of patients with ocular GVHD requires a multidisciplinary approach.
造血干细胞移植在多种淋巴增殖性疾病和骨髓疾病的治疗中具有重要作用。移植物抗宿主病(GVHD)涉及移植后出现的炎症表现,可累及多个器官。GVHD的眼部表现很常见,眼科医护人员必须了解这种疾病实体。眼表最常受累,但GVHD可影响眼睛的各个部位。眼部GVHD可呈复发和缓解状态,会降低生活质量,诊断和充分治疗具有挑战性。眼部GVHD的诊断标准和分级仍在不断发展。本综述旨在总结眼部GVHD的当前定义、临床发现、诊断标准和治疗方法。眼部GVHD患者的护理需要多学科方法。