类固醇诱发的玻璃眼:一种可避免的不可逆转失明的原因
Benjamin H K Teo1, Jonathan T W Au Eong2, Kah Guan Au Eong3,4,5
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
BMJ case reports
|September 4, 2023
概括
用类固醇眼滴自行治疗,如托布拉米/德克萨米,可能会导致严重的类固醇诱导的玻璃眼. 总是告诉你的医生关于所有的药物,包括眼药,以防止视力损失.
科学领域:
- 眼科医生 眼科 眼科
- 药理学 药理学是指药理学的学科.
背景情况:
- 一名70岁的男性患者出现了4天视力模糊的病史.
- 他有已知眼内血压升高 (IOP) 的病史,并用抗白内障眼滴治疗.
研究的目的:
- 为了强调未经监督的皮质类固醇眼滴使用的危险性.
- 强调综合药物历史在诊断类固醇诱导的玻璃眼病的重要性.
主要方法:
- 一份病例报告,详细介绍患者的表现,病史和检查结果.
- 审查患者对停止自行处方药物和启动青光眼治疗的反应.
主要成果:
- 发现该患者在眼科医生不知情的情况下,在3年半的时间里一直在使用托布拉米/德克萨米眼液.
- 这导致了双边类固醇诱导的玻璃眼,其特点是内压明显升高,光盘缩和道视力.
- 停止使用类固醇滴和适当的治疗使内压正常化,视野稳定.
结论:
- 用含有皮质类固醇的眼滴习惯性自我治疗会带来重大风险,包括类固醇诱导的玻璃眼.
- 详细的药物病史对准确诊断和眼部疾病的管理至关重要,特别是青光眼.
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