[Corneal toxicity due to amantadine].
نویسندگان
چکیده
CASE REPORT A 64 year-old female with Parkinson disease treated with amantadine for two years who suddenly suffered bilateral corneal oedema. It was initially treated as herpetic endotheliitis without improvement as we lacked information on her chronic treatment. The corneal oedema finally resolved after withdrawing the drug. DISCUSSION Amantadine hydrochloride may produce endothelial dysfunction. Once the amantadine treatment is stopped, the corneal oedema may be reversible but endothelial density remains low. An ophthalmologist examination should be performed before the initiation of amantadine treatment in order to establish a risk: benefit ratio, especially in those patients with low endothelial density or any endothelial anomaly.
منابع مشابه
Amantadine Induced Corneal Edema in a Patient with Primary Progressive Freezing of Gait
Amantadine is commonly used for Parkinsonism. However amantadine can induce adverse corneal reaction. Here we report a patient with primary progressive freezing of gait who had severe corneal edema associated with amantadine, which was reversible after discontinuation of the amantadine. This report alerts neurologists for this reversible but potentially critical corneal edema in patients with P...
متن کاملNorfloxacin loaded pH triggered nanoparticulate in situ gel for extraocular bacterial infections: Optimization, ocular irritancy and corneal toxicity
In order to achieve prolong corneal contact time of norfloxacin(NFX) for treatment of extra ocular diseases, a pH triggered nanoparticulate in situ gelling system was designed to explore dual advantage of nanoparticles and in situ gelling system, for its ocular delivery. NFX loaded nanocarriers were developed by ionotropic gelation technique using chitosan as a matrix forming polymer, cross-lin...
متن کاملAcute respiratory distress syndrome: A rare presentation of amantadine toxicity
PATIENT Male, 64 FINAL DIAGNOSIS: Acute Respiratory Distress Syndrome (ARDS) Symptoms: Generalized myoclonic jerks • impaired concentration • memory decline • visual hallucinations MEDICATION Amantadine HCl Clinical Procedure: - Specialty: Toxicology. OBJECTIVE Adverse events of drug therapy. BACKGROUND Amantadine is indicated for treatment of influenza A infection, Parkinson disease and ...
متن کاملSevere reversible neurological complications following amantadine treatment in three elderly patients with renal insufficiency.
reflexes in both hands. Parkinsonism symptoms, such as rigidity, were mild, but she could not stand or walk. Brain computed tomography showed no apparent ischemic changes, and electroencephalography showed no obvious paroxysmal discharges or triphasic waves. Her plasma amantadine hydrochloride level was high (4,900 ng/ml), and she was eventually diagnosed with amantadine toxicity. After cessati...
متن کاملNorfloxacin loaded pH triggered nanoparticulate in situ gel for extraocular bacterial infections: Optimization, ocular irritancy and corneal toxicity
In order to achieve prolong corneal contact time of norfloxacin(NFX) for treatment of extra ocular diseases, a pH triggered nanoparticulate in situ gelling system was designed to explore dual advantage of nanoparticles and in situ gelling system, for its ocular delivery. NFX loaded nanocarriers were developed by ionotropic gelation technique using chitosan as a matrix forming polymer, cross-lin...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Archivos de la Sociedad Espanola de Oftalmologia
دوره 87 9 شماره
صفحات -
تاریخ انتشار 2012