[Effect of long-term lithium therapy on the pigment epithelium and optic nerve].
Morphological alterations of the retina caused by lithium have been described in rats. Human patients were therefore examined for such findings, and photophobia, neuritis affecting the optic nerves and downbeat nystagmus were observed. We found pathologic Arden quotients in the EOG, indicating an alteration of the pigment epithelium. The VEPs showed delayed latencies, whereas the amplitudes remained unchanged. Because of the pathologic electrophysiological findings ophthalmological controls, including EOG and VEP, should be performed yearly in patients taking lithium.
Augenklinik des Lehrkrankenhauses Kassel.
W
W
Schmidt-Betschel
W
W
Aust
D000328:Adult; D000368:Aged; D001714:Bipolar Disorder / Q000097:blood / Q000188:drug therapy*; D004585:Electrooculography / Q000187:drug effects; D005074:Evoked Potentials, Visual / Q000187:drug effects; D005260:Female; D006801:Humans; D016651:Lithium Carbonate / Q000009:adverse effects* / Q000493:pharmacokinetics / Q000627:therapeutic use; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009900:Optic Nerve / Q000187:drug effects*; D010857:Pigment Epithelium of Eye / Q000187:drug effects*
D016651:Lithium Carbonate
Untersuchungen über den Einfluss der mehrjährigen Lithiumtherapie auf Pigmentepithel und Sehnerv.