Ryu SJ, Shin YU, Kang MH, Cho HY, Seong M. Bilateral acute myopia and angle closure glaucoma induced by Ma-huang (Ephedra): A case report.
Medicine (Baltimore) 2017;
96:e9257. [PMID:
29390365 PMCID:
PMC5815777 DOI:
10.1097/md.0000000000009257]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE
Cases of bilateral acute angle closure have been reported after use of various drugs.
PATIENT CONCERNS
A 52-year-old woman visited the emergency room and complained of acute bilateral ocular pain and decreased vision accompanied by headache, nausea, and vomiting. One day before, she had started a herbal medicine containing Ma-huang for weight loss. On examinations, myopic shift, edematous cornea, increased intraocular pressure, shallow anterior chamber, and thickened choroid on both eyes were observed.
DIAGNOSES
Angle closure glaucoma induced by drug (Ma-huang).
INTERVENTIONS
To promptly quit the offending drug and apply ocular hypotensives and cycloplegics.
OUTCOMES
Her symptoms and signs were relieved after antiglaucoma medications and no significant recurrence has been occurred.
LESSONS
Physicians prescribing weight loss medications containing Ma-huang must be aware of the potentially sight-threatening adverse effect of bilateral acute angle closure.
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