Unilateral Cystoid Macular Edema Induced by Citalopram – a Case Report

Česká verzia

Authors: M. Alexík
Authors place of work: Očné a ORL oddelenie, Fakultná nemocnica s poliklinikou, Žilina, primár oddelenia MUDr. Michal Štubňa
Published in the journal: Čes. a slov. Oftal., 67, 2011, No. 4, p. 136-138
Category: Case Reports

Summary

Citamopram is an antidepressant drug with fatigue, sleep disorders, appetite changes and visual impairment being the most common side effects. We are not aware of any published cases of cystoid macular edema following medication of this drug. We present a case of 55 year old woman with medical history of depression placed on Citalopram medication who noticed deterioration of right eye vision. Best corrected visual acuity was 20/120, ophthalmic coherence tomography and fluorescein angiography revealed cystoid macular edema. Two months following drug withdrawal edema disappeared and best corrected visual acuity improved to 20/32. Due to lack of other probable causes of edema and quick disappearance following drug withdrawal it is plausible to think of Citalopram as causative factor of cystoid macular edema in this patient.

Key words:
Citalopram, cystoid macular edema, antidepressants side effects

Zdroje

1. Kuchynka, P. et al.: Oční lékařství. Grada Publishing, 2007, s. 390, ISBN 978-80-247-1163-8.

2. Spousta, S.: Syndrom z ysazení SSRI. Psychiatrie pro praxi, č.1, 2001, ISSN – 1803–5272.

3. Costagliola, C. et al.: SSRIs and intraocular pressure modifications: evidence, therapeutic implications and possible mechanisms. CNS Drugs. 2004; 18(8): 475–84.

4. Zelefsky, JR. et al.: Escitalopram-induced uveal effusions and bilateral angle closure glaucoma. Am J Ophthalmol, 2006 Jun;141(6): 1144–7.

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Článok vyšiel v časopise

Czech and Slovak Ophthalmology

2011 Číslo 4

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