在一个健康的年轻女性中,托皮拉产生的双边急性角关闭
Michael J Miyashiro1, William A Newsom2, Nikki P Inamine3
1Ophthalmology, Eyeball Doc LLC, Bradenton, USA.
Cureus
|December 8, 2025
概括
托皮拉酸盐很少会导致急性角闭光眼,导致视力丧失. 迅速停止药物治疗和使用循环是恢复的关键,正如一个35岁妇女的案例研究所证明的那样.
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:
- 托皮拉是治疗,偏头痛和体重控制的常见药物.
- 极少情况下,托皮拉酸可诱导近视转移的急性双边角闭眼光.
- 这种情况需要及时识别和管理,以防止视力丧失.
研究的目的:
- 报告一例托皮拉马特诱导的急性角关闭光眼病.
- 强调早期诊断和适当管理的重要性.
- 为了区分药物诱导的视角闭合与初级视角闭合光眼.
主要方法:
- 一个健康的35岁妇女的病例报告.
- 临床检查包括前腔深度和眼内压力测量.
- 对药物诱导的角度闭合的管理策略的审查.
主要成果:
- 患者在开始服用topiramate后一周内出现了突然的双边疼痛红眼,视力模糊和近视转移.
- 检查显示前腔室浅,眼内压升高,虹膜角膜触摸.
- 停止托皮拉治疗导致症状和眼部发现完全消失.
结论:
- 托皮拉产生的急性角闭合是一种罕见但严重的不良反应.
- 快速戒毒和循环是成功管理的关键.
- 激光外周 iridotomies 可能是不必要的,应该考虑只有当机制是不清楚.
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