Evidence map›Paper›PMID 38653306›Full record

ReviewKlinische Monatsblatter fur Augenheilkunde2024

Acute Myopic Shift after a Single Dose of Acetazolamide: A Case Report and Review of the Literature.

Eirini Kaisari, Hana Abouzeid, Laurent Magnin, Melanie Boeuf, Evangelia Gkaragkani, Ann Schalenbourg, Thomas J Wolfensberger, Pierre-François Kaeser

Open access · hybridAbstract readCase ReportsReview
In one paragraph

Review in Klinische Monatsblatter fur Augenheilkunde, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Eirini KaisariDepartment of Ophthalmology, Jules-Gonin Eye Hospital, University of Lausanne, Switzerland.
Hana AbouzeidOphthalmology, AZ Ophtalmologie, Geneva, Switzerland.
Laurent MagninDepartment of Ophthalmology, Jules-Gonin Eye Hospital, University of Lausanne, Switzerland.
Melanie BoeufDepartment of Ophthalmology, Jules-Gonin Eye Hospital, University of Lausanne, Switzerland.
Evangelia GkaragkaniDepartment of Ophthalmology, Jules-Gonin Eye Hospital, University of Lausanne, Switzerland.
Ann SchalenbourgDepartment of Ophthalmology, Jules-Gonin Eye Hospital, University of Lausanne, Switzerland.
Thomas J WolfensbergerDepartment of Ophthalmology, Jules-Gonin Eye Hospital, University of Lausanne, Switzerland.
Pierre-François KaeserDepartment of Ophthalmology, Jules-Gonin Eye Hospital, University of Lausanne, Switzerland.
University of Lausanne · CHHôpital Ophtalmique Jules-Gonin · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a 32-year-old male who presented with an acute myopic shift as a result of uveal effusion following a single administration of 250 mg acetazolamide. The drug was discontinued and following cycloplegia and topical steroid therapy, we observed progressive deepening of the anterior chamber, reopening of the iridocorneal angle, and complete resolution of the myopic shift after 5 days. A literature review since 1956 identified 23 cases, including ours, which developed a myopic shift after a median time of 24 h (3 - 24) following a median dose of 500 mg (125 - 1000) acetazolamide, with about a third complicated by angle closure ocular hypertension. This presumed idiosyncratic reaction can occur without prior drug exposure and independent of the phakic status. Treatment options include systematic drug withdrawal associated with cycloplegia, anti-glaucomatous agents, and/or corticosteroids. Full recovery is achieved within about 5 days (2 - 14). Given the widespread use of acetazolamide, awareness of this idiosyncratic reaction is crucial to avoid complications of acute angle-closure glaucoma.

Indexed as

AcetazolamideMyopiaAcute DiseaseAdultCarbonic Anhydrase InhibitorsHumansMaleTreatment OutcomeAcetazolamideCarbonic Anhydrase Inhibitors

Identifiers

PMID38653306
PMCPMC11038821
OpenAlexW4395025981

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.