Kimura H, Masai H, Kashii S
Department of Ophthalmology, Faculty of Medicine, Kyoto University, Japan.
J Neuroophthalmol. 1996 Jun;16(2):134-6.
A 34-year-old man, who had a 14-year history of hemodialysis, presented with a sudden onset of blurring of vision in both eyes after elcatonin therapy for hypercalcemia. Fundus examination showed well-colored discs without swelling and normal retina in both eyes. Goldmann kinetic perimetry demonstrated central scotomas in both eyes. One month after discontinuance of elcatonin, his best visual acuity returned to 20/20 in both eyes. Although a cause-and-effect relationship between elcatonin and optic neuropathy is not definitive, optic neuropathy is presumably linked to elcatonin therapy.
一名有14年血液透析病史的34岁男性，在接受降钙素治疗高钙血症后突然出现双眼视力模糊。眼底检查显示双眼视盘色泽正常，无肿胀，视网膜正常。Goldmann动态视野检查显示双眼中央暗点。停用降钙素1个月后，他的双眼最佳视力恢复到20/20。虽然降钙素与视神经病变之间的因果关系尚不明确，但视神经病变可能与降钙素治疗有关。
