Postoperative Horner Syndrome After Lung Transplantation.

Autor: Go JA; Baylor College of Medicine (JAG, AGL), Houston, Texas; Department of Ophthalmology (AV, HAB, AGL), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; Division of Pulmonary, Critical Care and Transplant Medicine (TSK), Houston Methodist Hospital, Houston, Texas; Department of Ophthalmology (HAB, AGL), University of Texas Medical Branch, Galveston, Texas; Department of Ophthalmology (AGL), University of Texas MD Anderson Cancer Center, Houston, Texas; Department of Ophthalmology (AGL), Texas A and M College of Medicine, Bryan, Texas; Departments of Ophthalmology, Neurology, and Neurosurgery (HAB, AGL), Weill Cornell Medicine, New York, New York; and Department of Ophthalmology (AGL), The University of Iowa Hospitals and Clinics, Iowa City, Iowa., Vickers A, Kaleekal TS, Beaver HA, Lee AG
Jazyk: angličtina
Zdroj: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society [J Neuroophthalmol] 2020 Dec; Vol. 40 (4), pp. 504-506.
DOI: 10.1097/WNO.0000000000000848
Abstrakt: Background: Horner syndrome arises from a disruption along the oculosympathetic efferent chain and can be caused by a variety of pathological and iatrogenic etiologies. We present 3 cases of postoperative Horner syndrome after bilateral lung transplantation.
Methods: The electronic health records of 3 patients with iatrogenic Horner syndrome after lung transplantation were examined, including notes from each patient's medical history, operative and postoperative records, and ophthalmology consultation results. A literature review was performed.
Results: All 3 of our patients displayed anisocoria and ptosis, symptoms consistent with Horner syndrome, and the patients from Cases 1 and 2 showed reversal of anisocoria after an application of topical apraclonidine.
Conclusions: Ophthalmologists should be aware of the risk of Horner syndrome after lung transplantation.
Databáze: MEDLINE
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