Anorexiant-induced transient myopia after myopic laser in situ keratomileusis.

Abstract

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.

• Authors: Woojin Lee, Jee Ho Chang, Kyu Hwa Roh, J K Chung, Young Hoon Ohn
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 33 Issue 4 Pg. 746-9 (Apr 2007) ISSN: 0886-3350 [Print] United States
• PMID: 17397757 (Publication Type: Case Reports, Journal Article)

Chemical References

• Appetite Depressants
• Morpholines
• Mydriatics
• Atropine
• phendimetrazine
• Tropicamide

Topics

• Adult
• Appetite Depressants (adverse effects)
• Atropine (therapeutic use)
• Choroid (diagnostic imaging, drug effects)
• Ciliary Body (diagnostic imaging, drug effects)
• Humans
• Keratomileusis, Laser In Situ
• Male
• Morpholines (adverse effects)
• Mydriatics (therapeutic use)
• Myopia (chemically induced, drug therapy, surgery)
• Obesity (complications, drug therapy)
• Tropicamide (therapeutic use)
• Ultrasonography