RESUMO
We present a case of a 52-year-old man with sudden, bilateral central loss of vision as a result of inhalation of 'poppers'. He was found to have characteristic changes on optical coherence tomography. With conservative treatment, the patient's vision improved marginally at 3â months follow-up. An overview of previous published cases is also included.
Assuntos
Nitritos/toxicidade , Doenças Retinianas/induzido quimicamente , Transtornos Relacionados ao Uso de Substâncias/diagnóstico por imagem , Tratamento Conservador , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Retinianas/diagnóstico por imagem , Doenças Retinianas/terapia , Transtornos Relacionados ao Uso de Substâncias/patologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Tomografia de Coerência Óptica/métodos , Acuidade VisualRESUMO
The development of anti-tumor necrosis factor (TNF) therapies is a milestone in the therapy of rheumatic diseases. It is of concern whether all potential undesired complications of therapy have been evaluated within clinical trials which have led to treatment approval. Specialists prescribing TNF blockers should be aware of the unusual and severe complications that can occur. We describe a case of endogenous endophthalmitis in a rheumatoid patient on TNF alpha blocker.
