Document Detail


Uveal effusion induced by topical travoprost in a patient with Sturge-Weber-Krabbe syndrome.
MedLine Citation:
PMID:  19107053     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report a case of uveal effusion with subtotal exudative retinal detachment induced by topical administration of travoprost. CASE REPORT: A 20-year-old woman with a medical history of right-sided Sturge-Weber-Krabbe syndrome and bilateral aphakia secondary to congenital cataract extraction was referred to our department for retinal detachment associated with uveal effusion of the right eye. The ocular manifestations of Sturge-Weber-Krabbe syndrome in her right eye were glaucoma and diffuse choroidal hemangioma. Antiglaucomatous medications using topical travoprost 0.004%/timolol 0.5% (fixed combination) had been begun 1 week before. An adverse effect of travoprost was suspected and the drug was discontinued. Three weeks later, a fundus examination showed total disappearance of the uveal effusion. CONCLUSIONS: Interaction of the effects of topical prostaglandin analogs (blood-aqueous barrier disruption, enhancement of uveoscleral outflow) with both the diffuse choroidal hemangioma and the elevated episcleral venous pressure may lead to uveal effusion in Sturge-Weber-Krabbe syndrome. In spite of their efficiency, prostaglandin F2 analogs (latanoprost, travoprost and bimatoprost) should be used with caution in Sturge-Weber-Krabbe syndrome and particularly in cases of proved diffuse choroidal hemangioma.
Authors:
J Gambrelle; P Denis; V Kocaba; J D Grange
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal fran?ais d'ophtalmologie     Volume:  31     ISSN:  1773-0597     ISO Abbreviation:  J Fr Ophtalmol     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-12-24     Completed Date:  2009-10-28     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7804128     Medline TA:  J Fr Ophtalmol     Country:  France    
Other Details:
Languages:  eng     Pagination:  e19     Citation Subset:  IM    
Affiliation:
Service d'Ophtalmologie, H?pital de la Croix-Rousse - Hospices Civils de Lyon, Lyon. joel.gambrelle@chu-lyon.fr
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MeSH Terms
Descriptor/Qualifier:
Administration, Topical
Antihypertensive Agents / administration & dosage*,  adverse effects*
Body Fluids
Cloprostenol / administration & dosage,  adverse effects,  analogs & derivatives*
Female
Humans
Retinal Detachment / chemically induced*
Sturge-Weber Syndrome / complications*
Uveal Diseases / chemically induced*
Young Adult
Chemical
Reg. No./Substance:
0/Antihypertensive Agents; 157283-68-6/travoprost; 40665-92-7/Cloprostenol

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


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