Bilateral acute myopia and angle closure glaucoma induced by Ma-huang (Ephedra) A case reportopen access
- Authors
- Ryu, So Jung; Shin, Yong Un; Kang, Min Ho; Cho, Hee Yoon; Seong, Mincheol
- Issue Date
- Dec-2017
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- bilateral acute angle closure glaucoma; bilateral acute myopia; drug-induced angle closure glaucoma; Ma-huang
- Citation
- MEDICINE, v.96, no.50, pp.1 - 3
- Indexed
- SCIE
SCOPUS
- Journal Title
- MEDICINE
- Volume
- 96
- Number
- 50
- Start Page
- 1
- End Page
- 3
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/151119
- DOI
- 10.1097/MD.0000000000009257
- ISSN
- 0025-7974
- 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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