Добавил:
kiopkiopkiop18@yandex.ru t.me/Prokururor I Вовсе не секретарь, но почту проверяю Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Ординатура / Офтальмология / Английские материалы / Clinical Ocular Toxicology Drug-Induced Ocular Side Effects_Fraunfelder, Chambers _2008.pdf
Скачиваний:
0
Добавлен:
28.03.2026
Размер:
26.67 Mб
Скачать

effects side ocular induced-Drug • 7 Part

References And Further Reading

Brest AN, Novack P, et al. Guanethidine. Dis Chest 42: 359–363, 1962. Cant JS, Lewis DRH. Unwanted pharmacological effects of local guanethi-

dine in the treatment of dysthyroid upper lid retraction. Br J Ophthalmol 53: 239–245, 1969.

Davidson SI. Reports of ocular adverse reactions. Trans Ophthalmol Soc UK 93: 495, 1973.

Gloster J. Guanethidine and glaucoma. Trans Ophthalmol Soc UK 94: 573, 1974.

Hoyng PhFJ , Dake CL. The aqueous humor dynamics and biphasic response to intraocular pressure induced by guanethidine and adrenaline in the glaucomatous eye. Graefes Arch Clin Exp Ophthalmol 214: 263, 1980.

Jones DEP, Norton DA, Davies DJG. Control of glaucoma by reduced dosage guanethidine-adrenaline formulation. Br J Ophthalmol 63: 813, 1979.

Krieglstein GK. The uses and side effects of adrenergic drugs in the management of intraocular pressure. In: Drance SM, Glaucoma: Applied Pharmacology in Medical Treatment. Neufeld AH (eds), Grune & Stratton, New York, p 255–276 1984.

Wright P. Squamous metaplasia or epidermalization of the conjunctiva as an adverse reaction to topical medication. Trans Ophthalmol Soc UK 99: 244, 1979.

Generic name: Hydralazine hydrochloride.

Proprietary names: Generic only.

Primary use

This phthalazine derivative is effective in the management of ­essential or malignant hypertension, hypertensive complications of pregnancy and hypertension associated with acute glomerulonephritis.

Ocular side effects

Systemic administration

Certain

1. Decreased vision

2. Non-specific ocular irritation

a.Lacrimation

b.Photophobia

c.Ocular pain

3. Eyelids or conjunctiva

a.Allergic reactions

b.Erythema

c.Conjunctivitis – non-specific

d.Edema

e.Urticaria

Probable

1. Periorbital edema

Possible

1. Colored flashing lights

2. Subconjunctival or retinal hemorrhages secondary to druginduced anemia

3. Eyelids or conjunctiva – lupoid syndrome

Local ophthalmic use or exposure

Certain

1. Conjunctiva – hyperemia

Possible

1. Increased intraocular pressure – minimal

Clinical significance

All ocular side effects due to hydralazine are reversible, transient and seldom of clinical significance. A syndrome resembling systemic lupus erythematosus associated with hydralazine therapy is generally considered a benign condition that resolves without permanent sequelae. Several patients with hydralazine-induced lupus syndrome with ocular manifestations, including retinal vasculitis, episcleritis and exophthalmos, have been described.

Larsson et al (1995) studied topical ocular 0.1% hydralazine and found no clinically significant cardiovascular effects or significant ocular toxicity. Mild to moderate conjunctival hyperemia occurred in the series, and a small increase in intraocular pressure.

References And Further Reading

Crandall DC, Leopold IH. The influence of systemic drugs on tear constituents. Ophthalmology 86: 115, 1979.

Doherty M, Maddison PJ, Grey RHB. Hydralazine induced lupus syndrome with eye disease. BMJ 290: 675, 1985.

Johansson M, Manhem P. SLE-syndrome with exophthalmus after treatment with hydralazin. Lakartidningen 72: 153, 1975.

Larsson LI, Maus TL, Brubaker RF, et al. Topically applied hydralazine: ­effects on systemic cardiovascular parameters, blood-aqueous barrier, and aqueous humor dynamics in normotensive humans. J Ocul Pharmacol Ther 11(2): 145–156, 1995.

Mansilla-Tinoco R, et al. Hydralazine, antinuclear antibodies, and the lupus syndrome. BMJ 284: 936, 1982.

Peacock A, Weatherall D. Hydralazine-induced necrotising vasculitis. BMJ 282: 1121, 1981.

Sweetman SC (ed). Martindale: the Complete Drug Reference. 34th edn, Pharmaceutical Press, London, p 931–933, 2004.

Singh S. Hydralazine-induced lupus. South Med J 99: 6–7, 2006.

Generic name: Minoxidil.

Proprietary names: Loniten, Rogaine.

Primary use

This vasodilator is used in the treatment of severe hypertension resistant to other drugs and to treat alopecia.

Ocular side effects

Systemic administration

Certain

1. Eyelids or conjunctiva

a.Hyperemia

b.Erythema

c.Conjunctivitis – non-specific

d.Hyperpigmentation

e.Discoloration of eyelashes or eyebrows

f.Hypertrichosis

g.Photodermatitis

Possible

1. Eyelids or conjunctiva – Stevens-Johnson syndrome

Conditional/Unclassified

1. Optic neuritis

Topical application

Certain

1. Keratitis

2. Decreased vision

3. Dry skin

158

Соседние файлы в папке Английские материалы