TRAMADOL-ASSOCIATED BILATERAL CYSTOID MACULAR EDEMA

Autor: Olivia Zambrowski, Eric H Souied, Francesca Amoroso, Youssef Bustros, Elena Andra Barbalan, Carlotta Pallone, Alexandra Miere
Rok vydání: 2023
Předmět:
Zdroj: RETINAL Cases & Brief Reports. 17:5-8
ISSN: 1935-1089
Popis: Purpose To describe a case of bilateral cystoid macular edema in a patient with long-standing Tramadol hydrochloride use. Methods Observational case report. Results and discussion: A 73-year-old female patient was referred for progressive, bilateral decreased visual acuity. The patient was phakic with a best-corrected visual acuity (BCVA) at presentation was 20/50 on the right eye (RE) and 20/64 on the left eye (LE). The patient had a history of low back pain and had been on Tramadol hydrochloride 200 mg/day for 16 years. Bilateral cystoid macular edema (CME) was confirmed by means of multimodal imaging, including OCT angiography. Tramadol intake was progressively reduced over one month and then completely interrupted. At three months follow-up, the cystoid macular edema had completely resolved and BCVA improved in both eyes. Conclusion CME may be associated with longstanding treatment with Tramadol hydrochloride. Tramadol hydrochloride associated CME is described, as well as its resolution on Tramadol cessation.
Databáze: OpenAIRE