Posterior Segment Findings in Patients on Extracorporeal Membrane Oxygenation.
Halward Martin John BlegenAndrew Lemuel PlasterSamuel David HobbsDonovan Stephen ReedJoseph Anthony SantamariaZachary George HeathFrederick David NelsonGregory Bryant GilesPaul Michael DraynaPublished in: Journal of vitreoretinal diseases (2020)
This study demonstrates high rates of retinal pathology, most commonly vitreous and/or retinal hemorrhage alongside a Purtscher-like retinopathy. This is likely secondary to complications of anticoagulation, microthrombi, septicemia, and hemodynamic instability. We found a mortality rate slightly lower than that of prior ECMO studies. Prospective studies with pre-ECMO and post-ECMO fundus photography is warranted for better understanding of these medically complex patients.
Keyphrases
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- end stage renal disease
- chronic kidney disease
- newly diagnosed
- ejection fraction
- respiratory failure
- diabetic retinopathy
- optical coherence tomography
- risk factors
- venous thromboembolism
- patient reported outcomes
- type diabetes
- atrial fibrillation
- cardiovascular events