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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Andreatta, Walter Shah, Peter |
| Description | Country affiliation: United kingdom Author Affiliation: Andreatta W ( a Birmingham & Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust , Birmingham , UK .); Shah P ( a Birmingham & Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust , Birmingham , UK .) |
| Abstract | PURPOSE: To alert clinicians of the possibility of reversible drug-induced occult hypotony and choroidal effusion following the long-term use of pergolide. METHODS: Annotations were made while the case was observed. The clinical records of the patient were reviewed retrospectively. RESULTS: A 74-year-old Caucasian male with primary open-angle glaucoma presenting with reduced vision in both eyes and an inflamed right eye. Examination revealed bilateral hypotony, right anterior chamber inflammation, and right choroidal effusion. The right intraocular inflammation resolved completely after a short course of topical and oral antibiotics in addition to topical steroids. Nevertheless, the bilateral hypotony and right choroidal effusion persisted. Only the discontinuation of pergolide allowed the complete resolution of the patient's presenting symptoms and signs. CONCLUSIONS: Pergolide is known to cause pericardial and pleural effusion, and generalized oedema. However, its association with choroidal effusion and hypotony has never been reported. |
| File Format | HTM / HTML |
| ISSN | 08820538 |
| Issue Number | 5-6 |
| Volume Number | 30 |
| e-ISSN | 17445205 |
| Journal | Seminars in Ophthalmology |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2015-01-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Ophthalmology Choroid Diseases Chemically Induced Dopamine Agonists Adverse Effects Ocular Hypotension Parkinson Disease Drug Therapy Pergolide Aged Physiopathology Glaucoma, Open-angle Complications Humans Intraocular Pressure Physiology Male Ultrasonography Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Ophthalmology |
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