RESUMO
New and potent medications such as alpha 2-adrenergic agonists, topically active carbonic anhydrase inhibitors, and prostaglandin analogs, are now available for use in the treatment of glaucoma. These ophthalmic medications have the potential to cause serious drug interactions and systemic side effects. The primary care physician should be able to recognize and to monitor any potential adverse effects and interact with the prescribing ophthalmologist for optimal patient care.
Assuntos
Agonistas alfa-Adrenérgicos/uso terapêutico , Inibidores da Anidrase Carbônica/uso terapêutico , Glaucoma/tratamento farmacológico , Prostaglandinas Sintéticas/uso terapêutico , Humanos , Resultado do TratamentoRESUMO
Glaucoma screening is a standard procedure at many health fairs. Information on correct screening techniques, instrumentation, and target populations has been available. However, a scarcity of information exists concerning the success of efforts to follow up on abnormal results. This study reports on the findings of a long-term (6-month) follow-up of all individuals with abnormal tonometric results screened at an inner-city osteopathic hospital. Of the 218 subjects screened, 15 were found to have abnormal tonometric results. Seven of the 15 subjects were actually reached at the 6-month follow-up interval. Four of the seven had not sought any further eye care; two had sought nonmedical evaluation; only one had sought medical ocular care, and that subject was later found to have glaucoma. The results presented in this article indicate that compliance by this population is inadequate. Inner-city participants require more education. We encourage physicians to promptly refer such patients for appropriate medical ocular care.
Assuntos
Glaucoma/prevenção & controle , Exposições Educativas , Programas de Rastreamento , Cooperação do Paciente , Adolescente , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Tonometria Ocular , Estados Unidos , População UrbanaRESUMO
Extrapyramidal symptoms such as torticollis, oculogyric crisis and blepharospasm are typical manifestations of phenothiazine-induced drug reactions. Widespread use of such drugs, especially in children make these symptoms relatively commonplace. A case of phenothiazine-induced oculogyric crisis is presented. Included is a discussion of phenothiazine pharmacology.
Assuntos
Doenças dos Gânglios da Base/induzido quimicamente , Doenças Funcionais do Colo/tratamento farmacológico , Proclorperazina/efeitos adversos , Compostos de Amônio Quaternário/efeitos adversos , Torcicolo/induzido quimicamente , Adulto , Combinação de Medicamentos , Feminino , Humanos , Proclorperazina/uso terapêutico , Compostos de Amônio Quaternário/uso terapêuticoRESUMO
Spasmus nutans is an unusual neuro-ophthalmologic syndrome that affects infants. The clinical features of head nodding, nystagmus and head tilt are diagnostic although variability in their presentation is not uncommon. Computerized tomography of the head is recommended to rule out possible accompanying intracranial gliomas.
