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Published on: May 9, 2013
CEFALIUM-INDUCED BILATERAL TRANSIENT MYOPIA, RETINAL FOLDS, AND FOCAL CHOROIDAL DELAY
Luís Augusto Arana1, Mariana Bolzani Bach, Gustavo Vedana
1Hospital de Olhos do Paraná, Federal University of Parana-Brazil, Brazil.
A case study reports that Cefalium, a common migraine medication, can cause temporary vision problems including myopia and retinal folds. These effects resolved after discontinuing the drug.
Area of Science:
- Ophthalmology
- Pharmacology
Background:
- Cefalium is a combination medication frequently prescribed in Brazil for migraine relief.
- The medication contains acetaminophen, caffeine, dihydroergotamine mesylate, and metoclopramide hydrochloride.
Observation:
- A 21-year-old woman experienced acute bilateral blurred vision one day after taking oral Cefalium.
- Clinical examination revealed bilateral transient myopia, retinal folds, and choroidal delay.
Findings:
- Ocular coherence tomography confirmed retinal folds on the internal surface of the retina.
- Angiography demonstrated focal areas of hypofluorescence in both eyes.
- All ocular abnormalities resolved within seven days of Cefalium discontinuation.
Implications:
- This case highlights a potential adverse ocular effect associated with Cefalium use.
- Ophthalmologists should consider Cefalium as a potential cause of acute vision changes in patients presenting with similar symptoms.
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