Psychotropic Drug-Induced Glaucoma : A Practical Guide to Diagnosis and Management
This article provides a practical review of the diagnosis and management of angle closure induced by psychotropic agents, including tricyclic antidepressants, antipsychotics and anticonvulsants. Selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, monoamine oxidase inhibitors and antipsychotics may trigger angle closure by influencing pupil configuration through adrenergic, anticholinergic, serotonergic or dopaminergic mechanisms. Patients with narrow iridocorneal angles are at risk, and these are more common in people with hypermetropia (near-sightedness), older people and individuals with an Asian background. These patients may benefit from a laser peripheral iridotomy, either prophylactically or to relieve an acute angle-closure episode. An idiosyncratic reaction to medications such as topiramate may lead to angle closure through an alternate mechanism, leading to a uveal effusion. Ophthalmological review may be considered prior to commencing medications in high-risk patients.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2021 |
---|---|
Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:35 |
---|---|
Enthalten in: |
CNS drugs - 35(2021), 3 vom: 18. März, Seite 283-289 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Jain, Neeranjali S [VerfasserIn] |
---|
Links: |
---|
Themen: |
0H73WJJ391 |
---|
Anmerkungen: |
Date Completed 10.01.2022 Date Revised 10.01.2022 published: Print-Electronic Citation Status MEDLINE |
---|
doi: |
10.1007/s40263-020-00790-w |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM321636694 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM321636694 | ||
003 | DE-627 | ||
005 | 20231225180303.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2021 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1007/s40263-020-00790-w |2 doi | |
028 | 5 | 2 | |a pubmed24n1072.xml |
035 | |a (DE-627)NLM321636694 | ||
035 | |a (NLM)33604881 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Jain, Neeranjali S |e verfasserin |4 aut | |
245 | 1 | 0 | |a Psychotropic Drug-Induced Glaucoma |b A Practical Guide to Diagnosis and Management |
264 | 1 | |c 2021 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 10.01.2022 | ||
500 | |a Date Revised 10.01.2022 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a This article provides a practical review of the diagnosis and management of angle closure induced by psychotropic agents, including tricyclic antidepressants, antipsychotics and anticonvulsants. Selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, monoamine oxidase inhibitors and antipsychotics may trigger angle closure by influencing pupil configuration through adrenergic, anticholinergic, serotonergic or dopaminergic mechanisms. Patients with narrow iridocorneal angles are at risk, and these are more common in people with hypermetropia (near-sightedness), older people and individuals with an Asian background. These patients may benefit from a laser peripheral iridotomy, either prophylactically or to relieve an acute angle-closure episode. An idiosyncratic reaction to medications such as topiramate may lead to angle closure through an alternate mechanism, leading to a uveal effusion. Ophthalmological review may be considered prior to commencing medications in high-risk patients | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Review | |
650 | 7 | |a Anticonvulsants |2 NLM | |
650 | 7 | |a Psychotropic Drugs |2 NLM | |
650 | 7 | |a Topiramate |2 NLM | |
650 | 7 | |a 0H73WJJ391 |2 NLM | |
700 | 1 | |a Ruan, Claire W |e verfasserin |4 aut | |
700 | 1 | |a Dhanji, Shanil R |e verfasserin |4 aut | |
700 | 1 | |a Symes, Richard J |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t CNS drugs |d 1994 |g 35(2021), 3 vom: 18. März, Seite 283-289 |w (DE-627)NLM09374627X |x 1179-1934 |7 nnns |
773 | 1 | 8 | |g volume:35 |g year:2021 |g number:3 |g day:18 |g month:03 |g pages:283-289 |
856 | 4 | 0 | |u http://dx.doi.org/10.1007/s40263-020-00790-w |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 35 |j 2021 |e 3 |b 18 |c 03 |h 283-289 |