Graft-versus-Host Disease: Review

Tulio Batista Abud Antonio Di Zazzo Lauro Augusto de Oliveira Luciene Barbosa de Sousa About the authors

Abstract

Graft-versus-host Disease (GVHD) is a major complication with high morbidity and mortality rates on patients undergoing hematopoietic stem cell transplantation. The ocular involvement, named ocular GVHD, may affect all structures of the eyes, but the lacrimal unit (lacrimal glands and ocular surface) is the main target of the inflammatory response mediated by the donor T cells. The development of dry eye disease is the main clinical ocular manifestation, and the association of a variety of therapeutics options is necessary. The aim of the review is to describe the clinical manifestations, diagnostic criteria, impact in quality of life, the current treatment and future perspectives of this disease that demands a multidisciplinary follow-up.

Keywords:
Graft vs Host Disease; Dry eye syndromes; Keratoconjunctivitis sicca; Corneal diseases; Conjunctival diseases; Lacrimal apparatus

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