A&E, Cataract, Moorfields Eye Hospital NHS Foundation Trust, London, UK
Adnexal, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
BMJ Case Rep. 2024 Jun 4;17(6):e259477. doi: 10.1136/bcr-2023-259477.
Poppers maculopathy is a complication of alkyl nitrate (poppers) inhalation. It presents with non-specific symptoms and variable signs, which can make it difficult to diagnose. We present a case of coexisting cataract and poppers maculopathy in a patient. He had vague visual symptoms that were attributed entirely to his cataract and he went on to have cataract surgery. Suboptimal postoperative visual acuity and normal clinical examination triggered further investigation with spectral-domain optical coherence tomography (SD-OCT), after which poppers maculopathy was diagnosed. We highlight the importance of performing OCT in the preoperative assessment of a cataract patient, especially where the cataract is mild and may not fully account for symptoms. The patient showed complete visual recovery on drug cessation despite ongoing maculopathy on OCT scans.
“Poppers 黄斑病变”是吸入烷基硝酸盐（“poppers”）的并发症。它表现为非特异性症状和多变的体征，这使得诊断变得困难。我们报告了一例同时患有白内障和“Poppers 黄斑病变”的患者。他有模糊的视觉症状，完全归因于他的白内障，随后他接受了白内障手术。术后视力不佳和正常的临床检查促使我们对他进行了进一步的检查，包括频域光相干断层扫描（SD-OCT），随后诊断出“Poppers 黄斑病变”。我们强调了在白内障患者的术前评估中进行 OCT 检查的重要性，尤其是在白内障较轻且可能无法完全解释症状的情况下。尽管 OCT 扫描显示黄斑病变仍在持续，但该患者在停止使用药物后视力完全恢复。
