Nyssen V, Hautenauven F, Lekeu Hinostroza J P, Guagnini A P
Cliniques Universitaires Saint Luc, UCL, Brussels.
Bull Soc Belge Ophtalmol. 2009(313):39-44.
A 61-year-old woman is referred for bilateral diabetic macular edema. Her visual acuity is 20/70 in the right eye and 20/50 in the left eye. She presents a macular edema on both eyes. Her diabetes and her blood pressure are well controlled. We note that the decrease in visual acuity occured when the patient began taking rosiglitazone (Avandia) 4 mg per day. Three months after replacing rosiglitazone by gliclazide (Diamicron), the visual acuity of the patient improves to 20/40 in the right eye and 20/30 in the left eye.
一名61岁女性因双侧糖尿病性黄斑水肿前来就诊。她右眼视力为20/70,左眼视力为20/50。双眼均出现黄斑水肿。她的糖尿病和血压控制良好。我们注意到,患者开始每日服用4毫克罗格列酮(文迪雅)后,视力下降。在用格列齐特(达美康)替代罗格列酮三个月后,患者右眼视力提高到20/40,左眼视力提高到20/30。