• Rev Med Interne · Dec 2019

    Case Reports

    [Amiodarone-induced optic neuropathy: A rare side effect].

    • R Arcani, M Pellerey, F Rouby, N Gobin, J Scapin, M Chagny, T Arnould, P Ambrosi, S Gayet, J Micallef, P Villani, and A Daumas.
    • Service de médecine interne, gériatrie et thérapeutique, hôpital de la Timone, Aix-Marseille université, AP-HM, 264, rue Saint-Pierre 13385 Marseille, France.
    • Rev Med Interne. 2019 Dec 1; 40 (12): 826-830.

    IntroductionThe diagnosis of bilateral papilledema implies emergency medical care to look for intracranial hypertension and arteritic ischemic neuropathy. However, other causes must also be mentioned, including drugs. Too often underrated because of their usual benignity, drug side ophthalmological effects can be severe and are typically bilateral.Case ReportAn 80-year-old woman was hospitalized for bilateral papilledema, predominantly in the left eye, with lowered visual acuity. After ruling out intracranial hypertension, arteritic ischemic optic neuropathy, non-arteritic, and inflammatory bilateral papilledema, the diagnosis was toxic optic neuropathy.ConclusionBilateral edematous optic neuropathy is a known side effect of amiodarone, uncommon but to be known because of the large number of patients benefiting from this treatment.Copyright © 2019 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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