Anorexiant-induced transient myopia after myopic laser in situ keratomileusis.
We report a case of acute transient myopia associated with ciliochoroidal effusion induced by anorexiants. The patient had had myopic laser in situ keratomileusis 7 years earlier. Acute bilateral myopia associated with anterior chamber shallowing, intraocular pressure elevation, diffuse ciliochoroidal effusion, and perimacular retinal folds was relieved 14 days after discontinuation of anorexiant medications. Tropicamide and atropine were used to deepen the anterior chamber. Sympathomimetic drugs such as phendimetrazine and ephedrine are used as anorexiants and may induce transient myopia associated with ciliochoroidal effusion, shallow anterior chamber, and acute angle-closure glaucoma.
Lee
Woojin
W
Department of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, South Korea. ethiot@hanmail.net
Chang
Jee Ho
JH
Roh
Kyu Hwa
KH
Chung
J K
JK
Ohn
Young Hoon
YH
D000328:Adult; D001067:Appetite Depressants / Q000009:adverse effects*; D001285:Atropine / Q000627:therapeutic use; D002829:Choroid / Q000000981:diagnostic imaging / Q000187:drug effects; D002924:Ciliary Body / Q000000981:diagnostic imaging / Q000187:drug effects; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008297:Male; D009025:Morpholines / Q000009:adverse effects*; D009184:Mydriatics / Q000627:therapeutic use; D009216:Myopia / Q000139:chemically induced* / Q000188:drug therapy / Q000601:surgery*; D009765:Obesity / Q000150:complications / Q000188:drug therapy; D014331:Tropicamide / Q000627:therapeutic use; D014463:Ultrasonography
D001067:Appetite Depressants; D009025:Morpholines; D009184:Mydriatics; D001285:Atropine; C100294:phendimetrazine; D014331:Tropicamide