在非处方感冒药物治疗后,双边同时发生的急性角度闭合眼光
Chiara Vivarelli1,2, Marco Pellegrini1,2,3, Francesco Parmeggiani1,2
1Ophthalmology Clinic Operating Unit, Head and Neck Department, Arcispedale Sant'Anna University Hospital, Ferrara, Italy.
Case reports in ophthalmological medicine
|March 2, 2026
概括
德克斯特罗米多芬是一种常见的咳药物,可以触发急性闭角玻璃眼. 这一案例凸显了认识到这种副作用的重要性,并寻求及时的医疗护理,以防止视力丧失.
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:
- 急性闭角玻璃眼 (AACG) 是一种医疗紧急情况,其特点是眼内压力突然增加.
- 德克斯特罗米多芬是一种广泛可用的非处方止咳剂,可以在许多感冒和流感药中找到.
研究的目的:
- 在使用德克斯特罗梅索芬后发生的双边急性闭角玻璃眼病例报告.
- 为了强调常见的非处方药的潜在眼部副作用.
主要方法:
- 一个65岁妇女的病例介绍,她在服用德克斯特罗米多芬后发展了AACG.
- 临床检查包括眼内压力测量,裂灯生物显微镜和视镜.
- 通过停止药物治疗,抗葡萄糖瘤治疗和激光 iridotomy 进行治疗.
主要成果:
- 患者呈现明显升高的眼内压力 (57 mmHg右眼,50 mmHg左眼) 和浅的前腔.
- 牙镜检查证实了双边角的闭合.
- 药物戒断,医疗管理和Nd:YAG激光 iridotomy的治疗成功地使IOP正常化,并解决了玻璃眼的攻击.
结论:
- 常见的非处方感冒和流感药物含有德克斯特罗梅索芬可以导致急性闭角玻璃眼.
- 易受感染的人可能面临更高的风险.
- 在药物诱导的AACG病例中,迅速诊断和干预对于保持视力至关重要.
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