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Aripiprazole Induced Acute Transient Bilateral Myopia: A Case Report
Hasan Karadağ1, Mutlu Acar2, Kadir Özdel1
1Department of Psychiatry, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
Balkan Medical Journal
|July 14, 2015
Summary
Aripiprazole, an atypical antipsychotic, can cause acute transient myopia, a rare side effect. This case highlights the importance of recognizing this visual disturbance and managing medication to restore vision.
Area of Science:
- Ophthalmology
- Pharmacology
- Neuroscience
Background:
- Aripiprazole is an atypical antipsychotic.
- Acute transient myopia is a rare adverse drug reaction.
- Few cases of aripiprazole-induced myopia have been documented.
Purpose of the Study:
- To report a case of aripiprazole-induced acute transient myopia.
- To increase awareness among clinicians regarding this ocular side effect.
Main Methods:
- A case study of a 30-year-old woman experiencing blurred vision after 5 days of aripiprazole treatment.
- Assessment of visual acuity and refractive error.
- Management involved adding biperiden and subsequently discontinuing aripiprazole for cross-switching to paliperidone palmitate.
Main Results:
- The patient presented with bilateral blurred vision and a refractive error of -3.00 diopters.
- Symptoms improved with biperiden and resolved completely after aripiprazole discontinuation.
- No recurrence of side effects at 6-month follow-up.
Conclusions:
- Clinicians should be aware of aripiprazole-induced myopic shifts.
- Inquiring about medication use, including aripiprazole, is crucial for ophthalmologists.
- Discontinuation of aripiprazole is recommended to reverse this temporary condition.
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