4.5 Article

Visual impairment in Parkinson's disease treated with amantadine: Case report and review of the literature

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PARKINSONISM & RELATED DISORDERS
卷 14, 期 2, 页码 166-169

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ELSEVIER SCI LTD
DOI: 10.1016/j.parkreldis.2007.03.003

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amantadine; corneal endothelial dysfunction; side effects; Parkinson's disease

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A 61-year-old man with Parkinson's disease (PD) developed sudden-onset visual impairment after initiation of amantadine treatment. Ophthalmologic examination revealed corneal endothelial edema. Discontinuation of amantadine resulted in rapid improvement of visual acuity. A review of the literature indicated only a few reports of amantadine-associated corneal dysfunction in patients with neurological disorders as well as influenza syndrome, but none with PD. Amantadine-associated visual impairment in PD could be possibly overlooked.. since PD mainly affects elderly people who often develop aging-related ocular changes. The present report alerts neurologists and physicians in general to the peculiar oplithalmologic side effect of amantadine. (C) 2007 Elsevier Ltd. All rights reserved.

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