Topical brimonidine induced acute uveal effusion in a patient with nanophthalmos: a case report
Abstract Background We report a case of uveal effusion in a nanophthalmic eye after topical use of brimonidine. Case presentation 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...
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BMC
2023-10-01
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Series: | BMC Ophthalmology |
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Online Access: | https://doi.org/10.1186/s12886-023-03107-9 |
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author | Yakun Li Qi Zhou |
author_facet | Yakun Li Qi Zhou |
author_sort | Yakun Li |
collection | DOAJ |
description | Abstract Background We report a case of uveal effusion in a nanophthalmic eye after topical use of brimonidine. Case presentation 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. Conclusion 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. |
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institution | Directory Open Access Journal |
issn | 1471-2415 |
language | English |
last_indexed | 2024-03-09T15:23:10Z |
publishDate | 2023-10-01 |
publisher | BMC |
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series | BMC Ophthalmology |
spelling | doaj.art-2a1c5998751f492b95c4cbf33b9f30342023-11-26T12:40:17ZengBMCBMC Ophthalmology1471-24152023-10-012311610.1186/s12886-023-03107-9Topical brimonidine induced acute uveal effusion in a patient with nanophthalmos: a case reportYakun Li0Qi Zhou1Department of Ophthalmology, Peking Union Medical College, Peking Union Medical College Hospital, Chinese Academy of Medical SciencesDepartment of Ophthalmology, Peking Union Medical College, Peking Union Medical College Hospital, Chinese Academy of Medical SciencesAbstract Background We report a case of uveal effusion in a nanophthalmic eye after topical use of brimonidine. Case presentation 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. Conclusion 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.https://doi.org/10.1186/s12886-023-03107-9Acute uveal effusionTopical brimonidineNanophthalmos |
spellingShingle | Yakun Li Qi Zhou Topical brimonidine induced acute uveal effusion in a patient with nanophthalmos: a case report BMC Ophthalmology Acute uveal effusion Topical brimonidine Nanophthalmos |
title | Topical brimonidine induced acute uveal effusion in a patient with nanophthalmos: a case report |
title_full | Topical brimonidine induced acute uveal effusion in a patient with nanophthalmos: a case report |
title_fullStr | Topical brimonidine induced acute uveal effusion in a patient with nanophthalmos: a case report |
title_full_unstemmed | Topical brimonidine induced acute uveal effusion in a patient with nanophthalmos: a case report |
title_short | Topical brimonidine induced acute uveal effusion in a patient with nanophthalmos: a case report |
title_sort | topical brimonidine induced acute uveal effusion in a patient with nanophthalmos a case report |
topic | Acute uveal effusion Topical brimonidine Nanophthalmos |
url | https://doi.org/10.1186/s12886-023-03107-9 |
work_keys_str_mv | AT yakunli topicalbrimonidineinducedacuteuvealeffusioninapatientwithnanophthalmosacasereport AT qizhou topicalbrimonidineinducedacuteuvealeffusioninapatientwithnanophthalmosacasereport |