双边同时发生的急性角关闭性玻璃眼是由非处方感冒和流感药物引起的
Chung Shen Chean1, Ali Ibrahim Ali Hassan Ali2, Huzaifa Malick2
1Ophthalmology, University Hospitals of Leicester NHS Trust, Leicester, UK shen920815@gmail.com.
BMJ case reports
|August 30, 2024
概括
一个罕见的急性闭角光眼的病例是由一个常见的消血剂触发的. 对于使用此类药物后出现眼痛的患者来说,及时诊断和管理至关重要.
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:
- 一个高超视远的患者有狭窄角的病史,患有急性双边角闭眼镜.
- 患者在摄入含有降醇,瓜伊芬和氨酸化物的消血剂后不久出现了严重的眼睛疼痛和头痛.
研究的目的:
- 报告一种罕见的双边角关闭性玻璃眼病病例,该病例是由一种联合降血剂引发的.
- 强调认识到这种不良药物反应的重要性.
主要方法:
- 一个案例报告,一个60多岁的女性患有高超视.
- 记录消血剂使用后症状的出现.
- 测量眼内压力 (IOP) 和观察角膜.
- 描述所给予的紧急医疗和药物治疗.
主要成果:
- 该患者呈现出极高的内血压 (72 mmHg和66 mmHg) 和双侧角膜.
- 紧急用乙胺,皮洛卡尔宾,德克萨米他和降内血压滴剂治疗使内血压正常化.
- 患者被建议避免沉降血剂和类似的非处方药物.
结论:
- 这是第一个报告的双边角关闭病例,由降血剂与,瓜伊芬和烯化引发.
- 临床医生必须意识到这种罕见但严重的副作用,以便及时诊断和治疗急性角闭眼光.
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