• A Correction to this article was published on 27 February 2019


Non-graft-vs.-host disease (non-GVHD) ocular complications are generally uncommon after hematopoietic cell transplantation (HCT), but can cause prolonged morbidity affecting activities of daily living and quality of life. Here we provide an expert review of non-GVHD ocular complications in a collaboration between transplant physicians and ophthalmologists through the Late Effects and Quality of Life Working Committee of the Center for International Blood and Marrow Transplant Research and the Transplant Complications Working Party of the European Society of Blood and Marrow Transplantation. Complications discussed in this review include cataracts, glaucoma, ocular infections, ocular involvement with malignancy, ischemic microvascular retinopathy, central retinal vein occlusion, retinal hemorrhage, retinal detachment, and ocular toxicities associated with medications. We have summarized incidence, risk factors, screening, prevention and treatment of individual complicastions and generated evidence-based recommendations. Baseline ocular evaluation before HCT should be considered in all patients who undergo HCT. Follow-up evaluations should be considered according to clinical symptoms, signs and risk factors. Better preventive strategies and treatments remain to be investigated for individual ocular complications after HCT. Both transplant physicians and ophthalmologists should be knowledgeable of non-GVHD ocular complications and provide comprehensive collaborative team care.

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Change history

  • 27 February 2019

    The original version of this Article was updated to correct author name ‘Ahmad A’ to ‘Aisha Al-Khinji’.

  • 27 February 2019

    In the original version of this article, author ‘Aisha Al-Khinji’ was incorrectly listed as ‘Aisha Ahmed’. This has now been corrected in both the PDF and HTML versions of the article to ‘Aisha Al-Khinji’.


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The CIBMTR is supported primarily by Public Health Service Grant/Cooperative Agreement 5U24CA076518 from the National Cancer Institute (NCI), the National Heart, Lung and Blood Institute (NHLBI) and the National Institute of Allergy and Infectious Diseases (NIAID); a Grant/Cooperative Agreement 4U10HL069294 from NHLBI and NCI; a contract HHSH250201200016C with Health Resources and Services Administration (HRSA/DHHS); two Grants N00014-17-1-2388 and N0014-17-1-2850 from the Office of Naval Research; and grants from *Actinium Pharmaceuticals, Inc.; *Amgen, Inc.; *Amneal Biosciences; *Angiocrine Bioscience, Inc.; Anonymous donation to the Medical College of Wisconsin; Astellas Pharma US; Atara Biotherapeutics, Inc.; Be the Match Foundation; *bluebird bio, Inc.; *Bristol Myers Squibb Oncology; *Celgene Corporation; Cerus Corporation; *Chimerix, Inc.; Fred Hutchinson Cancer Research Center; Gamida Cell Ltd.; Gilead Sciences, Inc.; HistoGenetics, Inc.; Immucor; *Incyte Corporation; Janssen Scientific Affairs, LLC; *Jazz Pharmaceuticals, Inc.; Juno Therapeutics; Karyopharm Therapeutics, Inc.; Kite Pharma, Inc.; Medac, GmbH; MedImmune; The Medical College of Wisconsin; *Mediware; *Merck & Co, Inc.; *Mesoblast; MesoScale Diagnostics, Inc.; Millennium, the Takeda Oncology Co.; *Miltenyi Biotec, Inc.; National Marrow Donor Program; *Neovii Biotech NA, Inc.; Novartis Pharmaceuticals Corporation; Otsuka Pharmaceutical Co, Ltd. – Japan; PCORI; *Pfizer, Inc; *Pharmacyclics, LLC; PIRCHE AG; *Sanofi Genzyme; *Seattle Genetics; Shire; Spectrum Pharmaceuticals, Inc.; St. Baldrick’s Foundation; *Sunesis Pharmaceuticals, Inc.; Swedish Orphan Biovitrum, Inc.; Takeda Oncology; Telomere Diagnostics, Inc.; and University of Minnesota. The views expressed in this article do not reflect the official policy or position of the National Institute of Health, the Department of the Navy, the Department of Defense, Health Resources and Services Administration (HRSA) or any other agency of the U.S. Government. *Corporate Members

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Author notes

  1. These authors contributed equally: Yoshihiro Inamoto, Igor Petriček, Nuria Valdés-Sanz


  1. Department of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan

    • Yoshihiro Inamoto
  2. Department of Ophthalmology, University Clinical Hospital Zagreb, Zagreb, Croatia

    • Igor Petriček
  3. CIBMTR(Center for International Blood and Marrow Transplant Research), National Marrow Donor Program/Be The Match, Minneapolis, MN, USA

    • Linda Burns
  4. Medical College of Wisconsin, Milwaukee, WI, USA

    • Saurabh Chhabra
    •  & Neel Bhatt
  5. Blood and Marrow Transplant Program, Massachusetts General Hospital, Boston, MA, USA

    • Zack DeFilipp
  6. Division of Hematology/Oncology/Bone Marrow Transplantation, Department of Medicine, University of Wisconsin Hospital and Clinics, Madison, WI, USA

    • Peiman Hematti
  7. Universitatsspital Bern, Bern, Switzerland

    • Alicia Rovó
  8. Mayo Clinic Rochester, Rochester, MN, USA

    • Raquel Schears
    •  & Hassan Alkhateeb
  9. Division of Stem Cell Transplantation and Regenerative Medicine, Lucille Packard Children’s Hospital, Stanford School of Medicine, Palo Alto, CA, USA

    • Ami Shah
  10. Indiana University Simon Cancer Center, Indianapolis, IN, USA

    • Vaibhav Agrawal
  11. University of California, San Francisco, CA, USA

    • Aisha Al-Khinji
  12. Department of Hematology Oncology and Bone Marrow Transplantation, The Children’s Mercy Hospitals and Clinics, Kansas City, MO, USA

    • Ibrahim Ahmed
  13. St. Louis Medical Clinic, St. Louis, MO, USA

    • Asim Ali
  14. Department of Oncology, King Faisal Specialist Hospital Center & Research, Riyadh, Saudi Arabia

    • Mahmoud Aljurf
  15. Division of Pediatrics Hematology, Children’s Hospital of Orange County, Orange, CA, USA

    • Amer Beitinjaneh
    •  & Dave Buchbinder
  16. Vanderbilt University Medical Center, Nashville, TN, USA

    • Michael Byrne
  17. University of Wisconsin Carbone Cancer Center, Madison, WI, USA

    • Natalie Callander
  18. Department of Clinical Neuroscience, Karolinska Institutet, St. Erik Eye Hospital, Stockholm, Sweden

    • Kristina Fahnehjelm
  19. Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

    • Kristina Fahnehjelm
  20. Shands Healthcare & University of Florida, Gainsville, FL, USA

    • Nosha Farhadfar
    •  & Erich Horn
  21. Hematology Research Centre, Division of Experimental Medicine, Department of Medicine, Imperial College London, London, United Kingdom

    • Robert Peter Gale
  22. Division of Hematological Malignancy and Cellular Therapeutics, University of Kansas Health System, Kansas City, KS, USA

    • Siddhartha Ganguly
  23. Markey Cancer Center, University of Kentucky, Lexington, KY, USA

    • Gerhard C. Hildebrandt
  24. Division of Hematologic Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    • Ann Jakubowski
  25. Division of Hematology and Oncology, Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, TX, USA

    • Rammurti T. Kamble
  26. Tufts Medical Center, Boston, MA, USA

    • Jason Law
  27. Utah Blood and Marrow Transplant Program Huntsman Cancer Institute, University of Utaah, Salt Lake City, UT, USA

    • Catherine Lee
  28. Rush University Medical Center, Chicago, IL, USA

    • Sunita Nathan
  29. Dept. of Internal Medicine, Div. Haematology & Oncology, Charité University Medicine, Campus Rudolf Virchow, Berlin, Germany

    • Olaf Penack
  30. Houston Methodist Hospital, Houston, TX, USA

    • Ravi Pingali
  31. Children’s Hospital, New Orleans, LA, USA

    • Pinki Prasad
  32. Division of Hematology, Department of Internal Medicine, University Hospital Center Zagreb, Zagreb, Croatia

    • Drazen Pulanic
  33. School of Medicine, University of Zagreb, Zagreb, Croatia

    • Drazen Pulanic
  34. Faculty of Medicine Osijek, J. J. Strossmayer University of Osijek, Osijek, Croatia

    • Drazen Pulanic
  35. Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    • Seth Rotz
  36. Division of Hematology and Oncology, Mount Sinai Hospital, New York, NY, USA

    • Aditya Shreenivas
    •  & Amir Steinberg
  37. The School of Medicine, The Wilmer Ophthalmological Institute of The Johns Hopkins University, Baltimore, MD, USA

    • Khalid Tabbara
  38. University Hospital Basel, Basel, Switzerland

    • André Tichelli
  39. Division of Bone Marrow Transplant, Seattle Cancer Care Alliance, Seattle, WA, USA

    • Baldeep Wirk
  40. Blood & Marrow Transplantation Program, Division of Hematology/Oncology, Department of Medicine, Greenebaum Cancer Center, University of Maryland, Baltimore, MD, USA

    • Jean Yared
  41. Medical University of Warsaw, Warsaw, Poland

    • Grzegorz W. Basak
  42. Hematology Branch, Sarah Cannon BMT Program, Nashville, TN, USA

    • Minoo Battiwalla
  43. University Hospital Puerta de Hierro, Madrid, Spain

    • Rafael Duarte
  44. Division of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA

    • Bipin N. Savani
  45. Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA

    • Mary E. D. Flowers
  46. CIBMTR (Center for International Blood and Marrow Transplant Program), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA

    • Bronwen E. Shaw
  47. Department of Ophthalmology, Hospital Universitario Puerta de Hierro, Madrid, Spain

    • Nuria Valdés-Sanz


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Conflict of interest

The authors declare that they have no conflict of interest.

Corresponding author

Correspondence to Yoshihiro Inamoto.

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