A 54-year-old man with a medical history of poorly controlled diabetes and hepatitis C–associated liver failure presented with a new central scotoma of the right eye 3 days after orthotopic liver transplant. He denied eye pain, floaters, and photopsias.
The patient had his first liver transplant 12 years before presentation that failed despite immunosuppressive treatment with tacrolimus. He initiated mycophenolate mofetil treatment 2 months before his second transplant. In addition, the patient was positive for cytomegalovirus (CMV) IgG antibodies and had an undetectable CMV load 1 month before transplantation.
Crowell EL, Chang DS, Burkholder BM. Central Scotoma After Liver Transplant. JAMA Ophthalmol. Published online November 15, 2018. doi:10.1001/jamaophthalmol.2018.3564
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