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局部使用莫西沙星后的角膜沉积物。

Corneal deposits following topical moxifloxacin use.

作者信息

Alshamrani Abdulaziz A, Alharbi Saad S

机构信息

King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

出版信息

Saudi J Ophthalmol. 2019 Apr-Jun;33(2):163-164. doi: 10.1016/j.sjopt.2018.04.006. Epub 2018 Apr 26.

DOI:10.1016/j.sjopt.2018.04.006
PMID:31384160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6664315/
Abstract

Corneal deposits have been reported with numerous topical medications including fluoroquinolones. However, they have not been documented as a side effect of topical moxifloxacin. In this report, we describe the first case of corneal deposits following the use of preservative-free topical moxifloxacin 0.5% eye drops in a 26-year-old male with keratoconus who underwent a unilateral corneal cross-linking. Increased frequency and prolonged instillation of moxifloxacin eye drops led to corneal precipitation in this patient. Complete resolution of corneal deposits occurred four months after drug discontinuation without sequelae.

摘要

角膜沉积物已在包括氟喹诺酮类在内的多种局部用药中被报道。然而,它们尚未被记录为局部使用莫西沙星的副作用。在本报告中,我们描述了首例在一名26岁患有圆锥角膜且接受了单侧角膜交联手术的男性患者中,使用不含防腐剂的0.5%局部用莫西沙星滴眼液后出现角膜沉积物的病例。莫西沙星滴眼液使用频率增加和滴注时间延长导致该患者出现角膜沉淀。停药四个月后角膜沉积物完全消退,且无后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4116/6664315/f50db6b6e458/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4116/6664315/df1c3518b15e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4116/6664315/f50db6b6e458/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4116/6664315/df1c3518b15e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4116/6664315/f50db6b6e458/gr2.jpg

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本文引用的文献

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Sparfloxacin-associated corneal epithelial toxicity.司帕沙星相关性角膜上皮毒性。
BMJ Case Rep. 2014 Sep 19;2014:bcr2014203786. doi: 10.1136/bcr-2014-203786.
2
Corneal deposit after topical ciprofloxacin as postoperative medication after cataract surgery.白内障手术后局部使用环丙沙星作为术后用药后的角膜沉积物。
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Corneal crystalline deposits associated with topically applied gatifloxacin.与局部应用加替沙星相关的角膜晶体沉积物。
药物诱导性角膜沉积物:最新综述。
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Cornea. 2014 Jun;33(6):638-9. doi: 10.1097/ICO.0000000000000101.
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Cornea. 2009 Jan;28(1):114-5. doi: 10.1097/ICO.0b013e3181822667.
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Corneal deposits and topical ofloxacin--the effect of polypharmacy in the management of microbial keratitis.角膜沉积物与局部使用氧氟沙星——联合用药在微生物性角膜炎治疗中的作用
Eye (Lond). 2007 Mar;21(3):410-2. doi: 10.1038/sj.eye.6702303. Epub 2006 Mar 17.
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Development of the quinolones.喹诺酮类药物的发展。
J Antimicrob Chemother. 2003 May;51 Suppl 1:1-11. doi: 10.1093/jac/dkg212.