CATARACT INDUCED BY NEUROLEPTICS IN A TEENAGER
Published 2023
- 27th ESCRS Winter Meeting
Reference: P030
| Type: Presented Poster & Poster Submission
| DOI:
10.82333/cshv-2s71
Authors:
Sara Ennaki* 1
, Ali Rami 2
, Othmane Belcadi 2
, Sara Ettouri 2
, Ghizlane Daghouj 2
, Loubna ElMaaloum 2
, Bouchra Allali 2
, Asmaa ElKettani 2
1Centre Hospitalier Universitaire de Casablanca,CASABLANCA,Morocco;Centre Hospitalier Universitaire de Casablanca,CASABLANCA,Morocco, 2Centre Hospitalier Universitaire de Casablanca,CASABLANCA,Morocco
Purpose
Cataract, defined as total or partial opacification of the lens, is a possible side effect of the use of various drugs such as corticosteroids, amiodarone and antipsychotics. This side effect is reported under treatment with 1st generation (typical) antipsychotics but little described with 2nd generation (atypical) neuroleptics.
Setting
A 17-year-old adolescent treated for a severe personality disorder since the age of 5 years with typical and atypical low-dose antipsychotics for several years presented with a decrease in visual acuity that had been evolving for one year.
Methods
A 17-year-old adolescent treated for a severe personality disorder since the age of 5 years with typical and atypical low-dose antipsychotics for several years presented with a decrease in visual acuity that had been evolving for one year.
Results
On examination, the visual acuity was "close finger count" in the right eye and "hand movements" in the left eye without any change to automatic refraction. The examination of the anterior segment revealed a bilateral total white cataract with no change in the fundus. After cataract surgery, visual acuity was 10/10.
Conclusion
First generation neuroleptics in particular have been associated with a higher risk of developing a cataract. This justifies an ophthalmological evaluation of patients under antipsychotic treatment in case of visual complaints, especially in our country Morocco where 1st generation neuroleptics are more accessible in health centers.