Wallace R T, Brown G C, Benson W, Sivalingham A
Retina Service, Wills Eye Hospital, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Am J Ophthalmol. 1992 Aug 15;114(2):158-60. doi: 10.1016/s0002-9394(14)73979-0.
We examined two patients who had sudden decrease in vision after intranasal cocaine or methamphetamine abuse. A 38-year-old woman with a history of systemic arterial hypertension developed a central retinal artery occlusion four hours after intranasal use of cocaine. A 26-year-old woman had blurred vision and intraretinal hemorrhages shortly after using methamphetamine nasally. The adrenomimetic response and sudden increase in blood pressure associated with the intranasal use of these drugs may have contributed to the retinal vascular manifestations observed in these patients.
我们检查了两名在鼻吸可卡因或甲基苯丙胺后视力突然下降的患者。一名有系统性动脉高血压病史的38岁女性在鼻吸可卡因4小时后发生了视网膜中央动脉阻塞。一名26岁女性在鼻吸甲基苯丙胺后不久出现视力模糊和视网膜内出血。与鼻吸这些药物相关的拟肾上腺素反应和血压突然升高可能导致了这些患者出现视网膜血管表现。
