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Arch Soc Esp Oftalmol ; 90(7): 327-30, 2015 Jul.
Article in Spanish | MEDLINE | ID: mdl-25817959

ABSTRACT

CASE REPORT: A 73 year-old woman with depression treated with escitalopram developed acute secondary angle closure glaucoma related to uveal effusion after duplicating the drug dose 3 days before. She evolved favorably once the antidepressant treatment was suspended and a new treatment with topical hypotensive therapy and oral prednisone was used. DISCUSSION: The uveal effusion syndrome associated to medicines is rare; it may be associated with acute myopic shift and acute angle closure glaucoma. The correct diagnosis and discontinuation of the drug lead to the resolution of this nosology.


Subject(s)
Citalopram/adverse effects , Glaucoma, Angle-Closure/chemically induced , Selective Serotonin Reuptake Inhibitors/adverse effects , Subretinal Fluid , Uveal Diseases/chemically induced , Acute Disease , Aged , Atropine/therapeutic use , Brimonidine Tartrate/therapeutic use , Choroid Diseases/chemically induced , Choroid Diseases/drug therapy , Ciliary Body/pathology , Drug Overdose , Emergencies , Female , Glaucoma, Angle-Closure/drug therapy , Humans , Myopia/chemically induced , Prednisone/therapeutic use , Receptors, Serotonin/drug effects , Receptors, Serotonin/physiology , Subretinal Fluid/diagnostic imaging , Timolol/therapeutic use , Uveal Diseases/drug therapy , Uveal Diseases/physiopathology
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