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Visual functions and adverse ocular effects in patients with amiodarone medication
Kirsi Ikäheimo 1 , Raimo Kettunen 2 and Maija Mäntyjärvi 3
  1 Department of Ophthalmology, University Hospital of Kuopio, Kuopio, Finland   2 Department of Internal Medicine, Cardiological Unit, Central Hospital of Mikkeli, Mikkeli, Finland   3 Department of Ophthalmology, University of Kuopio, Kuopio, Finland
Correspondence:
Maija Mäntyjärvi, MD
Department of Ophthalmology
University of Kuopio
PO Box 1627
Fin-702 11 Kuopio
Finland
Tel: +358 17 172 485
Fax: +358 17 172 486
email: maija.mantyjarvi@uku.fi
Copyright © Acta Opthalmol Scand 2002
KEYWORDS
amiodarone • eye examination • colour vision • contrast sensitivity • visual fields

ABSTRACT.

AbstractPatients and methodsResultsColour visionContrast sensitivityReferences

Purpose: To study visual functions and ocular adverse effects of long-term amiodarone medication.

Methods: We performed an eye examination of 22 patients with long-term amiodarone medication. In addition to corrected visual acuity, colour vision was studied with the Standard Pseudoisochromatic Plates part 2 and Farnsworth-Munself 100 hue test. Contrast sensitivity was examined with the Pelli-Robson chart. Visual fields were tested by Goldmann and Friedmann perimetry.

Results: Two patients with otherwise healthy eyes had abnormal blue colour vision test results. Otherwise colour vision, contrast sensitivity, and visual field test results were within normal range or could be explained by eye diseases such as cataract. Corneal drug deposits were found in 100% of the examined eyes. Slight anterior subcapsular lens opacities were found in 22.2%. Dry eyes were diagnosed in 9.1%. The eye fundi did not reveal any abnormalities that could be thought of as caused by amiodarone.

Conclusion: The slight blue colour vision defect found in two patients with otherwise healthy eyes might represent an early sign of the optic nerve impairment which is a rare complication of amiodarone medication. The number of corneal and lens changes as well as dry eyes were found at levels previously described.


Received on February 2nd, 2001.Accepted on September 28th, 2001.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1034/j.1600-0420.2002.800112.x About DOI

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