一个49岁的老妇人服用芬特明的分支视网膜动脉封闭
Jeremy Liu1, Philip J Rosenfeld1, Sander R Dubovy1
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
American journal of ophthalmology case reports
|June 17, 2024
概括
减肥药物芬特明与分支视网膜动脉堵塞病例有关. 这突显了使用这种药物的患者中缺血视网膜病变的风险.
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.
- 血管医学 血管医学
背景情况:
- 减肥药物被广泛使用.
- 缺血性视网膜病变可能导致视力丧失.
- 胺是一种常见的食欲抑制剂.
研究的目的:
- 报告与使用芬特明相关的分支视网膜动脉封闭病例.
- 提高临床医生对这种潜在不良影响的认识.
主要方法:
- 一个49岁的妇女的病例报告.
- 临床检查包括 funduscopy 和光谱域光学连贯性断层扫描 (SD-OCT).
- 系统性评估以排除视网膜血管封闭的其他原因.
主要成果:
- 患者在右眼出现了急性,无痛的视力丧失.
- fundus 检查显示了视网膜在上支动脉分布中的白化.
- SD-OCT显示了黄斑胀.
- 系统性工作对其他原因是负面的.
- 诊断出与芬特明相关的分支视网膜动脉封闭.
结论:
- 芬特明,即使是处方剂量,也可能与缺血性视网膜病变有关.
- 临床医生应将芬特明视为视网膜血管封闭的潜在原因.
- 这种风险超出了娱乐用安非他命的范围.
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