Bilateral acute myopia and angle closure glaucoma induced by Ma-huang (Ephedra) A case report

被引：9

作者：

Ryu, So Jung ^{[1
]}

Shin, Yong Un ^{[1
]}

Kang, Min Ho ^{[1
]}

Cho, Hee Yoon ^{[1
]}

Seong, Mincheol ^{[1
]}

机构：

[1] Hanyang Univ, Dept Ophthalmol, Coll Med, 222 Wangimni Ro, Seoul 04763, South Korea

来源：

MEDICINE | 2017年 / 96卷 / 50期

基金：

新加坡国家研究基金会;

关键词：

bilateral acute angle closure glaucoma; bilateral acute myopia; drug-induced angle closure glaucoma; Ma-huang; ANTERIOR-CHAMBER; TOPIRAMATE; PERFORMANCE; SUPPLEMENTS; DETACHMENT; MEDICATION; THICKNESS;

D O I：

10.1097/MD.0000000000009257

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：3

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