非处方感冒和流感药物引起的伴有葡萄膜渗漏的短暂性近视：病例报告

Non-prescription cold and flu medication-induced transient myopia with uveal effusion: case report.

作者信息

Zeng Rui, Li Yun-Peng, Chen Chun-Li, Huang Ya-Qian, Lian Hao, Hu Yu-Zhang, Yang Jia-Song

机构信息

Department of Ophthalmology, Yancheng Aier Eye Hospital, Yancheng, 224000, China.

Department of Ophthalmology, Apex Eye Hospital, Zhumadian, 463000, Henan Province, China.

出版信息

BMC Ophthalmol. 2019 Jun 26;19(1):136. doi: 10.1186/s12886-019-1137-7.

DOI:10.1186/s12886-019-1137-7

PMID:31242876

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6595694/

Abstract

BACKGROUND

To report a case of non-prescription cold and flu medication-induced transient myopia with uveal effusion.

CASE PRESENTATION

Bilateral high intraocular pressure, shallow anterior chambers, uveal effusion, and a myopic shift were encountered in a 39-year-old Chinese male 1 night after taking a non-prescription flu medicine three times than the recommended dose. Ultrasound biomicroscopy (UBM) showed bilateral ciliochoroidal effusions, disappearance of the ciliary sulcus, closure of the angle of the anterior chamber, and anterior displacement of the lens-iris diaphragm. Treatment with aqueous suppressants was given. Within a week, the uncorrected vision restored, and the myopia had disappeared. UBM revealed major resolution of the ciliochoroidal effusions in both eyes, deepening of the anterior chamber, return of the lens-iris diaphragm to a more posterior position.

CONCLUSIONS

Overdose of non-prescription cold and flu medication may cause bilateral uveal effusions inducing acute angle-closure glaucoma and acute myopia.

摘要

背景

报告一例非处方感冒流感药物引起的伴有葡萄膜渗漏的短暂性近视病例。

病例介绍

一名39岁中国男性，在服用非处方流感药物剂量超过推荐剂量三倍后的1个晚上，出现双侧高眼压、前房浅、葡萄膜渗漏和近视性移位。超声生物显微镜检查（UBM）显示双侧睫状体脉络膜渗漏、睫状沟消失、前房角关闭以及晶状体虹膜隔向前移位。给予降眼压药物治疗。一周内，未矫正视力恢复，近视消失。UBM显示双眼睫状体脉络膜渗漏基本消退，前房加深，晶状体虹膜隔回到更靠后的位置。