Anorexiant-induced transient myopia after myopic laser in situ keratomileusis.

Author(s): Lee W, Chang JH, Roh KH, Chung JK, Ohn YH

Affiliation(s): Department of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, South Korea. ethiot@hanmail.net

Publication date & source: 2007-04, J Cataract Refract Surg., 33(4):746-9.

Publication type: Case Reports

We report a case of acute transient myopia associated with ciliochoroidal effusion induced by anorexiants. The patient had had myopic laser in situ keratomileusis 7 years earlier. Acute bilateral myopia associated with anterior chamber shallowing, intraocular pressure elevation, diffuse ciliochoroidal effusion, and perimacular retinal folds was relieved 14 days after discontinuation of anorexiant medications. Tropicamide and atropine were used to deepen the anterior chamber. Sympathomimetic drugs such as phendimetrazine and ephedrine are used as anorexiants and may induce transient myopia associated with ciliochoroidal effusion, shallow anterior chamber, and acute angle-closure glaucoma.