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Risperidone-related bilateral cystoid macular edema: a case report
Anna Kozlova1,2, Charles D McCanna1, Rony Gelman3
1Department of Ophthalmology, State University of New York, Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY, 11203, USA.
Journal of Medical Case Reports
|March 14, 2019
Summary
This case report details a patient experiencing bilateral cystoid macular edema while on risperidone. Reducing the risperidone dosage resolved the edema and improved vision, suggesting a link.
Area of Science:
- Ophthalmology
- Pharmacology
Background:
- Risperidone is an antipsychotic medication.
- Bilateral cystoid macular edema is a rare but serious ocular condition.
Observation:
- A 69-year-old woman developed worsening vision.
- Bilateral cystoid macular edema was diagnosed.
- The patient was taking risperidone.
Findings:
- Decreasing risperidone dosage led to resolution of cystoid macular edema.
- Visual acuity significantly improved after dosage adjustment.
- Optical coherence tomography and fluorescein angiography confirmed the edema and its resolution.
Implications:
- This case highlights a potential adverse ocular effect of risperidone.
- Monitoring patients on risperidone for maculopathy may be beneficial.
- Further research into risperidone-induced maculopathy is warranted.
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