title: Secondary pseudomyopia induced by amisulpride.
abstract: OBJECTIVE
  To report a case of pseudomyopia induced by antipsychotic drug administration.
  
  
  METHODS
  A 30-year-old woman was referred to our ophthalmology department complaining of blurred vision, especially at distance, in both eyes. The patient had been prescribed antipsychotic drugs (haloperidol and biperiden) as treatment for her schizophrenic symptoms and had recently undergone a change of treatment to amisulpride. She had a manifest refraction of -4.00/-1.00 × 180 in the OD and -3.75/-1.25 × 175 in the OS whereas her cycloplegic refraction was -1.75/-1.00 × 180 in the OD and -1.00/-1.25 × 175 in the OS, respectively.
  
  
  RESULTS
  A diagnosis of likely drug-induced pseudomyopia was made. Therefore, the patient was advised to visit her psychiatrist, who added an extra 2 mg of biperiden, an anticholinergic agent, to the pre-existing amisulpride treatment, achieving a cessation of the visual symptoms a few days later.
  
  
  CONCLUSIONS
  Pseudomyopia can be induced by the antipsychotic drug amisulpride. Additional treatment with anticholinergic agents can be used to eliminate this side effect.
authors.affiliation: Ophthalmiatrion Athinon, Athens Eye Hospital, Second Eye Clinic, Athens, Greece.
authors.forename: Aimilianos A
authors.initials: AA
authors.lastname: Stratos
authors.forename: Vasileios G
authors.initials: VG
authors.lastname: Peponis
authors.forename: Dimitra M
authors.initials: DM
authors.lastname: Portaliou
authors.forename: Theodora E
authors.initials: TE
authors.lastname: Stroubini
authors.forename: Sotirios
authors.initials: S
authors.lastname: Skouriotis
authors.forename: George D
authors.initials: GD
authors.lastname: Kymionis
mesh_terms: D000328:Adult; D000077582:Amisulpride; D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009216:Myopia / Q000139:chemically induced* / Q000175:diagnosis; D012029:Refraction, Ocular / Q000187:drug effects*; D012559:Schizophrenia / Q000188:drug therapy; D013469:Sulpiride / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D014787:Vision Tests / Q000379:methods*; D014792:Visual Acuity
chemical_list: D014150:Antipsychotic Agents; D013469:Sulpiride; D000077582:Amisulpride