[因米诺西丁诱发的眼科高血压 (病例报告) ]
V P Erichev1, V S Zinina1, D M Safonova1
1Krasnov Research Institute of Eye Diseases, Moscow, Russia.
Vestnik oftalmologii
|May 13, 2024
概括
局部使用米诺克西迪尔可能会导致眼内压力 (IOP) 和眼部副作用的增加. 停止使用米诺克西迪尔和及时治疗可以有效地管理米诺克西迪尔诱导的眼睛高血压.
科学领域:
- 眼科医生 眼科 眼科
- 皮肤病学 皮肤病学
背景情况:
- 局部用米诺克西迪尔广泛用于雄激素性脱发症.
- 局部用米诺克西迪尔的眼部副作用很少被报道.
- 这一案例凸显了米诺西迪尔使用与眼内压升高之间的潜在联系.
研究的目的:
- 报告与局部使用米诺克西迪尔相关的眼内压升高病例.
- 描述这种疾病的临床表现和管理.
主要方法:
- 一名31岁的男性患者出现双眼视和眼内压升高.
- 眼科检查包括眼内压力测量,光学连贯性断层扫描 (OCT) 和静态周边测量.
- 患者的药物治疗史显示了8年的局部使用米诺克西迪尔.
主要成果:
- 患者表现出眼内压力升高 (高达30毫米柱) 和轻微的结膜胀.
- 经过OCT检测,结节细胞层变薄,这与中度近视有关.
- 停用米诺克西迪尔和使用前列腺素类似物治疗导致了积极的反应.
- 随后试图切换低血压治疗的尝试没有成功,需要恢复最初的治疗方案.
- 在10个月的随访期间,通过OCT和静态周边测量没有观察到疾病进展.
结论:
- 局部使用的米诺克西迪尔可能与眼内压力升高有关.
- 立即停止使用米诺西迪尔和适当的眼睛低血压治疗对于管理米诺西迪尔诱导的眼睛高血压至关重要.
- 眼科医生应考虑在眼内压力不明原因增加的患者中使用米诺西迪尔.
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