米氮平诱导的女性双侧继发性角关闭。

GMS ophthalmology cases Pub Date : 2020-06-29 eCollection Date: 2020-01-01 DOI:10.3205/oc000156
Srishti Raj, Manpreet Kaur, Kandragunta Srinivasarao, Faisal Thattaruthody, Sushmita Kaushik, Surinder Singh Pandav
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引用次数: 2

摘要

目的:报告一例使用米氮平治疗6个月的女性双侧继发性角闭合。患者和方法:55岁女性,诊断为双眼继发性闭角伴眼压升高,超声生物显微镜检查提示睫状体积液。可能与毗邻囊肿有关,因为使用米氮平治疗抑郁和睡眠障碍。结果:米氮平计划性停药后,眼角开阔,睫状体水肿减轻,囊肿大小缩小。局部应用0.5%噻莫洛尔控制眼压。结论:有闭角危险因素的患者应慎用抗精神病药物。由于睫状体积液导致的继发性闭角不建议采用周围激光虹膜切开术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Mirtazapine-induced bilateral secondary angle closure in a female.

Purpose: To report a case of bilateral secondary angle closure in a female using mirtazapine for 6 months. Patient and method: A 55-year-old female was diagnosed with secondary angle closure in both eyes with raised intraocular pressure, and ultrasound biomicroscopic findings suggestive of ciliary body effusion. It was associated with adjoining cyst presumably because of the use of mirtazapine for depression and sleep disturbances. Results: After the planned discontinuation of mirtazapine, the ocular angle opened, the ciliary body edema decreased, and the cyst regressed in size. The intraocular pressure was controlled with topical timolol (0.5%). Conclusion: Patients with risk factors for angle closure should be prescribed antipsychotic drugs with caution. The peripheral laser iridotomy is not indicated in secondary angle closure due to ciliary body effusion.

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