Retinopathy of pancreatitis indicates multiple‐organ failure and poor prognosis in severe acute pancreatitis

Gabor Holló, Mária Tarjáyi, Márta Varga, Lajos Flautner

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Abstract

Abstract. During hospitalization for severe acute necro‐tizing pancreatitis, a connection between the onset of re‐tinopathy of pancreatitis and multiple‐organ failure was studied. Ophthalmoscopy was repeated every second day and continuous staging for multiple‐organ failure was performed in 38 patients. Typical retinopathy of pancreatitis developed in 7 of 10 patients with multiple‐organ failure and only in 4 of the 28 patients without multiple‐organ failure. Retinopathy of pancreatitis was observed in 7 of the 18 cases leading to lethal outcome and only in 4 of the 20 surviving patients. No correlation was observed between the development of retinopathy of pancreatitis and hemodialysis, pre‐existing diabetes mellitus, abnormal platelet count, result of hemoculture, c reactive protein value, fraction of inspired oxygen and adult respiratory distress syndrome. In the 21 control patients in grave general state but without acute pancreatitis, retinopathy of pancreatitis was never observed. In our prospective study the onset of retinopathy of pancreatitis had clinical prognostic value and indicated multiple‐organ failure and poor prognosis in severe acute necrotizing pancreatitis. 1994 Institution Acta Ophthalmologica Scandinavica

Original languageEnglish
Pages (from-to)114-117
Number of pages4
JournalActa Ophthalmologica
Volume72
Issue number1
DOIs
Publication statusPublished - Feb 1994

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Keywords

  • APACHE II score
  • acute necrotizing pancreatitis
  • multiple‐organ failure
  • prognostic value
  • retinopathy of pancreatitis

ASJC Scopus subject areas

  • Ophthalmology

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