Document Detail


Ophthalmological adverse effects of (chiropractic) upper spinal manipulation: evidence from recent case reports.
MedLine Citation:
PMID:  16187996     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Upper spinal manipulation (USM) is frequently used by chiropractors and other health care professionals to treat minor complaints. This systematic review aimed to summarize ophthalmological adverse effects of USM recently reported in the medical literature. METHODS: Five electronic databases were searched for all case reports of ophthalmological adverse effects after USM published between January 1995 and April 2003. No language restrictions were applied. Key data from the primary publications thus located were extracted and critically evaluated. RESULTS: Fourteen case reports were found. Clinical symptoms and signs were diverse and included loss of vision, ophthalmoplegia, diplopia and Horner's syndrome. The underlying mechanism was arterial wall dissection in most cases. The eventual outcome varied and often included permanent deficits. Causality was frequently deemed likely or certain. CONCLUSION: Upper spinal manipulation is associated with ophthalmological adverse effects of unknown frequency. Ophthalmologists should be aware of its risks. Rigorous investigations must be conducted to establish reliable incidence figures.
Authors:
Edzard Ernst
Related Documents :
15551936 - A cumulative review of the range and incidence of significant adverse events associated...
20110636 - Kaposi's sarcoma after long-acting steroids: time until remission and drug washout.
9220656 - Rare but important adverse effects of all-trans retinoic acid in acute promyelocytic le...
3912976 - The treatment of herpes zoster infections.
6584196 - Primary leiomyosarcoma of extragnathic bones. case report and review of literature.
10978656 - Fatal intoxication with melperone.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acta ophthalmologica Scandinavica     Volume:  83     ISSN:  1395-3907     ISO Abbreviation:  Acta Ophthalmol Scand     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-28     Completed Date:  2005-12-01     Revised Date:  2008-03-17    
Medline Journal Info:
Nlm Unique ID:  9507578     Medline TA:  Acta Ophthalmol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  581-5     Citation Subset:  IM    
Affiliation:
Complementary Medicine, Peninsula Medical School, Universities of Exeter and Plymouth, Exeter, UK. Edzard.Ernst@pms.ac.uk
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Complementary Therapies
Databases, Factual / statistics & numerical data
Eye Diseases / etiology*
Humans
Manipulation, Chiropractic / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Central visual field changes using flicker perimetry in type 2 diabetes mellitus.
Next Document:  Photo-induced foveal injury after viewing a solar eclipse.