Ocular Disease

Posterior subcapsular cataracts are a common complication of long-term treatment with glucocorticoids. Patients with cataracts complain of visual impairment on bright sunny days or in response to bright lights where the pupil is forced to constrict and focus the image to the path occupied by the cataract.

Table 17.4. Therapeutic approach to severe hypocalcemia, hypomagnesemia, hypophosphatemia

(1) Hypocalcemia Calcium

(2) Hypomagnesemia

(3) Hypophosphatemia

Dosage

10 ml of a 10% solution IV over 10 minutes followed by 50 ml of a 10% solution of 500 ml D5W over 8 hours then recheck.

2 gms of 50% solution IV over 8 hours then recheck (may need to be continued for

3 days to correct the intracellular deficits) Monitor deep tendon reflexer for a decrease In DTA suggest the development of hypermagnesemia.

2 mg/kg IV over 6 hours then recheck

Transplant patients with diabetes mellitus should have regular eye examinations to prevent the complications of diabetic retinopathy. Whether patients with diabetic retinopathy would benefit with stabilization or improvement in their vision following early pancreas transplant remains unanswered. Eye infections in transplant patients can be devastating and require emergent diagnosis and treatment. Herpetic keratoconjunctivitis, CMV retinitis, toxoplasma chorioretinitis and ophthalmic herpes zoster are among the eye infections which require timely diagnosis and treatment.

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