Non-prescription cold and flu medication-induced transient myopia with uveal effusion: case report

BMC Ophthalmology

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[1] 0000 0004 1798 646X, grid.412729.b, Department of Ophthalmology, Tianjin Medical University Eye Hospital, 30000, Tianjin, China;Department of Ophthalmology, Apex Eye Hospital, 463000, Zhumadian, Henan Province, China;Department of Ophthalmology, Yancheng Aier Eye Hospital, 224000, Yancheng, China;0000 0001 0379 7164, grid.216417.7, Aier School of Ophthalmology, Central South University, 410000, Changsha, China;Department of Ophthalmology, Apex Eye Hospital, 463000, Zhumadian, Henan Province, China;Department of Ophthalmology, Yancheng Aier Eye Hospital, 224000, Yancheng, China;Department of Ophthalmology, Apex Eye Hospital, 463000, Zhumadian, Henan Province, China;Department of Pediatric Ophthalmology, Weiernuo Pediatric Clinic, 200050, Shanghai, China;Vitreous and Retinal Department, Chengdu Aidi Eye Hospital, 610000, Chengdu, Sichuan Province, China;

关键词: Uveal effusion;    Acute angle-closure glaucoma;    Non-prescription cold and flu medication;   

DOI  :  10.1186/s12886-019-1137-7

来源: publisher

【 摘 要 】

BackgroundTo report a case of non-prescription cold and flu medication-induced transient myopia with uveal effusion.Case presentationBilateral high intraocular pressure, shallow anterior chambers, uveal effusion, and a myopic shift were encountered in a 39-year-old Chinese male 1 night after taking a non-prescription flu medicine three times than the recommended dose. Ultrasound biomicroscopy (UBM) showed bilateral ciliochoroidal effusions, disappearance of the ciliary sulcus, closure of the angle of the anterior chamber, and anterior displacement of the lens-iris diaphragm. Treatment with aqueous suppressants was given. Within a week, the uncorrected vision restored, and the myopia had disappeared. UBM revealed major resolution of the ciliochoroidal effusions in both eyes, deepening of the anterior chamber, return of the lens-iris diaphragm to a more posterior position.ConclusionsOverdose of non-prescription cold and flu medication may cause bilateral uveal effusions inducing acute angle-closure glaucoma and acute myopia.

【 授权许可】

CC BY