Bilateral acute myopia and angle closure glaucoma induced by Ma-huang (Ephedra)
نویسندگان
چکیده
RATIONALE Cases of bilateral acute angle closure have been reported after use of various drugs. PATIENT CONCERNS A 52-year-old woman visited the emergency room and complained of acute bilateral ocular pain and decreased vision accompanied by headache, nausea, and vomiting. One day before, she had started a herbal medicine containing Ma-huang for weight loss. On examinations, myopic shift, edematous cornea, increased intraocular pressure, shallow anterior chamber, and thickened choroid on both eyes were observed. DIAGNOSES Angle closure glaucoma induced by drug (Ma-huang). INTERVENTIONS To promptly quit the offending drug and apply ocular hypotensives and cycloplegics. OUTCOMES Her symptoms and signs were relieved after antiglaucoma medications and no significant recurrence has been occurred. LESSONS Physicians prescribing weight loss medications containing Ma-huang must be aware of the potentially sight-threatening adverse effect of bilateral acute angle closure.
منابع مشابه
Acute myopia and angle closure glaucoma from topiramate in a seven-year-old: a case report and review of the literature
BACKGROUND A case is reported of acute bilateral myopia and angle closure glaucoma in a 7-year-old patient from topiramate toxicity. This is the second known reported case of topiramate induced acute angle closure glaucoma and third known reported case of topiramate induced acute myopia in a pediatric patient. CASE PRESENTATION This case presents a 7-year-old who had recently begun topiramate...
متن کاملBilateral acute myopia and angle-closure glaucoma in a migraine patient receiving topiramate: a case report
We present a case of topiramate-induced angle-closure glaucoma that was treated with cycloplegia. A 40-yearold woman with a history of migraine presented with bilateral acute onset of blurred vision and headache. She had been prescribed 50 mg of oral topiramate bid for migraine prophylaxis 10 days prior to her presentation. On her ocular examination visual acuity was 20/20 with a myopic correct...
متن کاملAcute bilateral angle closure glaucoma induced by methazolamide
PURPOSE To report a case of bilateral acute myopia and angle closure glaucoma after ingestion of methazolamide. METHODS An interventional case report of a 70-year-old male who developed bilateral, acute myopia and angle closure glaucoma after ingesting methazolamide tablets for the treatment of normal tension glaucoma. RESULTS Bilateral anterior chamber shallowing associated with ciliary bo...
متن کاملSumatriptan-induced angle-closure glaucoma
RATIONALE Drug-induced bilateral angle-closure glaucoma is a rare event and should be treated correctly and promptly to prevent visual loss. PATIENT CONCERNS We report a rare case of sumatriptan-induced bilateral angle-closure glaucoma in a young woman with migraine, and explore the possible mechanism. DIAGNOSES We describe the clinical outcome of a patient with sumatriptan-induced bilatera...
متن کاملOseltamivir (Tamiflu)-induced bilateral acute angle closure glaucoma and transient myopia
A 27-year-old woman developed bilateral acute angle closure glaucoma (AACG) and transient myopia after taking oseltamivir for four days. On the fourth day, she received systemic and topical intraocular pressure (IOP)-lowering agents, and IOP decreased in both eyes. However, her visual acuity was unchanged. A myopic shift of -5.25 D OD and -5.0 D OS was estimated to have occurred in the acute ph...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 96 شماره
صفحات -
تاریخ انتشار 2017