RESUMO
Cocaine is used to produce a euphoric effect by abusers, who may be unaware of the devastating systemic and ocular side effects of this drug. We describe the first known case of cilioretinal artery occlusion after intranasal cocaine abuse.
Assuntos
Acetazolamida/administração & dosagem , Administração Oral , Artérias Ciliares , Cocaína/intoxicação , Transtornos Relacionados ao Uso de Cocaína/complicações , Diagnóstico Diferencial , Feminino , Angiofluoresceinografia , Seguimentos , Fundo de Olho , Humanos , Infusões Intravenosas , Manitol/administração & dosagem , Massagem/métodos , Oclusão da Artéria Retiniana/induzido quimicamente , Oclusão da Artéria Retiniana/diagnóstico , Oclusão da Artéria Retiniana/terapia , Acuidade Visual , Testes de Campo Visual , Campos Visuais , Adulto JovemRESUMO
Oral contraceptives are known to have ocular complications including retinal vascular lesions. The authors report a case of central retinal artery occlusion in a young woman on oral contraceptives.
Assuntos
Adolescente , Anticoncepcionais Orais Combinados/efeitos adversos , Combinação Etinil Estradiol e Norgestrel/efeitos adversos , Feminino , Humanos , Oclusão da Artéria Retiniana/induzido quimicamenteRESUMO
A 38-year-old male with acute myocardial infraction who had received streptokinase presented with acute painless diminution of vision in the left eye. Examination revealed features of central retinal artery occlusion on the left side with vision of perception of light. Treatment in the form of systemic and local intraocular pressure lowering agents, retrobulbar xanthinol nicotinate and systemic injection of B-complex resulted in improvement of vision to counting fingers up to one meter. In this case thrombolytic therapy itself led to embolism into the left central retinal artery resulting in its occlusion and eventually optic atrophy and blindness.