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Doc Ophthalmol ; 140(1): 77-82, 2020 02.
Article in English | MEDLINE | ID: mdl-31587118

ABSTRACT

PURPOSE: To report a case of linezolid-induced reversible retinopathy. METHODS: Case report with literature review. RESULTS: Clinical examination and imaging are presented over a 7-month interval, from initial presentation to subsequent follow-up (6 months after discontinuation of linezolid). The subject was found to have not only an optic neuropathy but also severe reversible photoreceptor dysfunction as demonstrated by electrophysiologic testing. Upon discontinuation of linezolid, not only did the patient's visual acuity, visual fields, and visual evoked potential significantly improve, but the electroretinogram did as well. CONCLUSIONS: Linezolid has previously been reported to cause a toxic optic neuropathy. Reversible photoreceptor dysfunction on full-field electroretinography has never been reported in conjunction with linezolid toxicity. This novel case suggests that linezolid toxicity should be considered in cases of photoreceptor dysfunction.


Subject(s)
Anti-Bacterial Agents/adverse effects , Autoimmune Diseases/chemically induced , Linezolid/adverse effects , Optic Nerve Diseases/chemically induced , Photoreceptor Cells, Vertebrate/drug effects , Retinal Diseases/chemically induced , Aged, 80 and over , Autoimmune Diseases/diagnosis , Autoimmune Diseases/physiopathology , Electroretinography , Evoked Potentials, Visual/physiology , Humans , Male , Optic Nerve Diseases/diagnosis , Optic Nerve Diseases/physiopathology , Photoreceptor Cells, Vertebrate/physiology , Retinal Diseases/diagnosis , Retinal Diseases/physiopathology , Visual Acuity/physiology , Visual Field Tests , Visual Fields/physiology
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