Medication Induced Ophthalmic Issues
Introduction Medications can cause ocular adverse effects. Most disappear once the drug is discontinued (such as blurry vision from an anticholinergic). In other cases, the damage can be permanent (such as vision loss with a PDE-5 inhibitor). Common Drugs Known to Cause Vision Changes or Damage Eye inflammation Bisphosphonates (e.g. alendronate) - conjunctivitis, episcleritis, scleritis, keratitis or uveitis Retinal changes/retinopathy Chloroquine Hydroxychloroquine Optic neuropathy Amiodarone (plus corneal deposits) Ethambutol Linezolid Intraoperative floppy iris syndrome (IFIS); causes difficulty in cataract surgery Alpha-blockers (e.g. tamsulosin) Colour discrimination Digoxin (with toxicity) - yellow/green vision PDE-5 inhibitors (e.g. sildenafil) - greenish tinge around objects Voriconazole - Colour vision changes Vision loss/abnormal vision Clomiphene - blurred vision, reduced visual acuity, phosphenes (flash in the visual field), scintillating scotomas (spots in the visual...