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Uveitis-like syndrome and iris transillumination after the use of oral moxifloxacin
Ist Teil von
Eye (London), 2009-12, Vol.23 (12), p.2260-2262
Ort / Verlag
London: Nature Publishing Group UK
Erscheinungsjahr
2009
Quelle
MEDLINE
Beschreibungen/Notizen
Objective
To report a newly recognized adverse effect of oral moxifloxacin.
Design
Observational case reports.
Participants
Five patients who used oral moxifloxacin therapy.
Main outcome measures
In five patients, a uveitis-like episode followed oral moxifloxacin therapy, afterwards they experienced photophobia. At slitlamp investigation, the patients showed almost complete iris transillumination, not restricted to one sector, and persistent mydriasis of the pupil, with no reaction to light and no near reflex. Follow-up of 3 years in one of the patients showed no change of symptoms. Only in one patient, with a history of anterior uveitis, an anterior chamber tap was positive for herpes simplex genome. Only after the use of moxifloxacin did she experience continuous photophobia.
Conclusions
Iris transillumination and sphincter paralysis is a newly recognized adverse effect of oral moxifloxacin therapy.