Mayo Clinic, Department of Psychiatry and Psychology, Rochester, Minneapolis 55905, USA.
Brain Stimul. 2011 Oct;4(4):218-21. doi: 10.1016/j.brs.2011.08.007. Epub 2011 Sep 6.
This case report describes a 60-year-old woman who experienced a posterior vitreous detachment (PVD) and retinal tear after her 11th session of 1 Hz repetitive transcranial magnetic stimulation (rTMS) for the treatment of major depression. Although we cannot conclude that rTMS caused her PVD and retinal tear, the temporal association is strong, and we hypothesize a possible pathophysiology of the event. As part of the routine clinical monitoring of rTMS side effects, we encourage attention toward ophthalmologic symptoms, especially in older patients.
本病例报告描述了一位 60 岁女性在接受 11 次 1Hz 重复经颅磁刺激（rTMS）治疗重度抑郁症后出现后玻璃体脱离（PVD）和视网膜裂孔。尽管我们不能确定 rTMS 导致了她的 PVD 和视网膜裂孔，但时间上的关联很强，我们假设这一事件可能存在某种病理生理学机制。作为 rTMS 副作用常规临床监测的一部分，我们鼓励关注眼科症状，特别是在老年患者中。
