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Abnormal retinal function associated with isotretinoin therapy for acne.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|June 1, 1986
Summary
Isotretinoin, used for cystic acne, can cause vision problems like poor night vision. Some patients experienced lasting retinal function changes, including abnormal dark adaptation and electroretinograms (ERGs).
Area of Science:
- Ophthalmology
- Dermatology
- Retinal Physiology
Background:
- Isotretinoin is a common treatment for severe cystic acne.
- Potential ocular side effects of isotretinoin are a concern.
Observation:
- Three out of 50 patients on isotretinoin reported poor night vision or glare sensitivity.
- Abnormal dark adaptation and electroretinograms (ERGs) were observed in some patients during or after treatment.
Findings:
- Two patients showed abnormal dark adaptation, with elevated cone or rod thresholds.
- Abnormal ERGs and electro-oculograms were noted; some abnormalities persisted for over a year.
- Analysis suggested reduced retinal sensitivity and response compression in ERG parameters.
Implications:
- Isotretinoin may interfere with normal retinol binding, affecting retinal function.
- These findings highlight the need for monitoring visual function in patients treated with isotretinoin.
- Further prospective studies are needed to confirm the frequency of these visual adverse effects.
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