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抗疟药在角膜的沉积是否是视网膜毒性的一种指征?

Is corneal deposition of antimalarial any indication of retinal toxicity?

作者信息

Easterbrook M

机构信息

Department of Ophthalmology, University of Toronto, Ont.

出版信息

Can J Ophthalmol. 1990 Aug;25(5):249-51.

PMID:2207871
Abstract

Ninety-five percent of patients on chloroquine demonstrate corneal deposition of the drug with the pupil dilated; less than 10% of patients on hydroxychloroquine show any corneal changes when so examined. I describe one patient on chloroquine and two on hydroxychloroquine who demonstrated large amounts of corneal antimalarial drug, leading to the early diagnosis of definite retinopathy. Examination of the cornea with the pupil dilated may reveal the presence of retinal toxicity in some patients.

摘要

服用氯喹的患者中有95%在瞳孔散大时出现药物在角膜的沉积;而接受羟氯喹治疗的患者在进行此项检查时,出现角膜改变的比例不到10%。我描述了1例服用氯喹和2例服用羟氯喹的患者,他们角膜上出现了大量抗疟药物沉积,从而得以早期确诊明确的视网膜病变。在瞳孔散大状态下检查角膜,可能会发现部分患者存在视网膜毒性。

相似文献

1
Is corneal deposition of antimalarial any indication of retinal toxicity?抗疟药在角膜的沉积是否是视网膜毒性的一种指征?
Can J Ophthalmol. 1990 Aug;25(5):249-51.
2
[Chloroquine retinopathy].
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Retinal toxicity associated with hydroxychloroquine and chloroquine: risk factors, screening, and progression despite cessation of therapy.与羟氯喹和氯喹相关的视网膜毒性:危险因素、筛查以及尽管停止治疗仍会进展的情况。
Arch Ophthalmol. 2011 Jan;129(1):30-9. doi: 10.1001/archophthalmol.2010.321.
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Ocular effects and safety of antimalarial agents.抗疟药的眼部效应与安全性。
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[Routine monitoring of patients treated with synthetic antimalarials].[接受合成抗疟药治疗患者的常规监测]
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Ann Ophthalmol. 1991 Aug;23(8):290-1.

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