aDepartment of Neurology, NorthShore University Health System, Glenview bUniversity of Illinois College of Medicine cDepartment of Neurology and Neuro-ophthalmology, University of Illinois College of Medicine, Peoria, Illinois, USA.
Curr Opin Ophthalmol. 2013 Nov;24(6):540-9. doi: 10.1097/01.icu.0000434557.30065.a7.
Systemic medications may cause side-effects manifesting primarily as neuro-ophthalmologic problems. It is paramount for the physician to be updated on both well recognized and novel associations between drugs and their potential adverse reactions.
There is a growing list of medications that can cause pupil dilation, pupil constriction, dyschromatopsia, worsening of ocular myasthenia gravis, posterior reversible leukoencephalopathy syndrome, pseudotumor cerebri, disturbances in eye movements, accommodation problems, or optic neuropathy. This is partly due to the increasing number of drugs available in each class, but also to the increased recognition of neuro-ophthalmological disorders.
This review discusses neuro-ophthalmological problems and the medications that may precipitate them.
全身性药物可能会引起主要表现为神经眼科问题的副作用。医生了解药物及其潜在不良反应之间的公认关联和新关联至关重要。
越来越多的药物可引起瞳孔扩大、瞳孔缩小、色觉障碍、眼肌重症肌无力恶化、可逆性后部白质脑病综合征、假性脑瘤、眼球运动障碍、调节问题或视神经病变。这部分是由于每类药物中可用药物数量的增加，也是由于对神经眼科疾病认识的提高。
本文讨论了可能引发神经眼科问题的药物。
