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Related Experiment Videos

Pain upon eye movement following digoxin absorption.

A Mermoud1, A B Safran, N de Stoutz

  • 1Department of Ophthalmology, Geneva University Hospital, Switzerland.

Journal of Clinical Neuro-Ophthalmology
|March 1, 1992
PubMed
Summary

Digoxin use can cause eye pain and glare triggered by eye movements. These symptoms resolve upon discontinuing the medication, suggesting a link to digoxin toxicity.

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Area of Science:

  • Ophthalmology
  • Cardiology
  • Clinical Pharmacology

Background:

  • Digoxin is a cardiac glycoside used to treat heart failure and arrhythmias.
  • Ocular side effects of digoxin are rare but can be serious.

Observation:

  • A patient on long-term digoxin therapy developed glare and ocular pain with eye movement.
  • Symptoms recurred upon readministration of digoxin and resolved upon discontinuation.

Findings:

  • The patient's symptoms were directly correlated with digoxin treatment cycles.
  • The exact mechanism is unclear but may involve optic nerve or ocular muscles.

Implications:

  • Digoxin toxicity should be considered in patients presenting with eye pain related to eye movements.
  • This case highlights the importance of a thorough medication review in diagnosing ocular symptoms.

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