PDF(Pubmed)
Abstract：
BACKGROUND: We report a case of uveal effusion in a nanophthalmic eye after topical use of brimonidine.
METHODS: A 42-year-old male patient with nanophthalmos experienced sudden blurred vision in the right eye after using topical brimonidine when picking up tennis balls repeatedly 6 weeks after bilateral YAG peripheral iridotomy. Ocular examination showed wide choroidal and exudative retinal detachment in the temporal and inferior region, involving the macula. Acute uveal effusion in the right, bilateral nanophthalmos was diagnosed. Oral and topical corticosteroids, combined with topical nonsteroids and atropine led to a complete resolution of the uveal effusion after one month.
CONCLUSIONS: This case suggested a possible causal relationship between the topical use of brimonidine and acute uveal effusion in patients with nanophthalmos. Topical brimonidine should be used with caution in nanophthalmic eyes.
METHODS: A 42-year-old male patient with nanophthalmos experienced sudden blurred vision in the right eye after using topical brimonidine when picking up tennis balls repeatedly 6 weeks after bilateral YAG peripheral iridotomy. Ocular examination showed wide choroidal and exudative retinal detachment in the temporal and inferior region, involving the macula. Acute uveal effusion in the right, bilateral nanophthalmos was diagnosed. Oral and topical corticosteroids, combined with topical nonsteroids and atropine led to a complete resolution of the uveal effusion after one month.
CONCLUSIONS: This case suggested a possible causal relationship between the topical use of brimonidine and acute uveal effusion in patients with nanophthalmos. Topical brimonidine should be used with caution in nanophthalmic eyes.
摘要：
背景：我们报告了一例局部使用溴莫尼定后纳米眼眼的葡萄膜积液。
方法：一名42岁男性患者在双侧YAG外周虹膜切开术后6周反复拿起网球时，使用局部溴莫尼定后右眼突然视力模糊。眼部检查显示颞区和下区广泛的脉络膜和渗出性视网膜脱离，涉及黄斑。右侧急性葡萄膜积液，诊断为双侧纳米眼球。口服和局部皮质类固醇，联合外用非甾体和阿托品治疗1个月后葡萄膜积液完全消退.
结论：该病例提示局部使用溴莫尼定与纳眼患者急性葡萄膜积液之间可能存在因果关系。在纳米眼科眼中应谨慎使用局部溴莫尼定。
方法：一名42岁男性患者在双侧YAG外周虹膜切开术后6周反复拿起网球时，使用局部溴莫尼定后右眼突然视力模糊。眼部检查显示颞区和下区广泛的脉络膜和渗出性视网膜脱离，涉及黄斑。右侧急性葡萄膜积液，诊断为双侧纳米眼球。口服和局部皮质类固醇，联合外用非甾体和阿托品治疗1个月后葡萄膜积液完全消退.
结论：该病例提示局部使用溴莫尼定与纳眼患者急性葡萄膜积液之间可能存在因果关系。在纳米眼科眼中应谨慎使用局部溴莫尼定。
