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Instillation of carbonic anhydrase inhibitor was apparently effective for cystoid macular edema in a patient of retinitis pigmentosa Masatoshi Haruta 1,2 , Fumi Hotokezaka 1,2 , Ryoji Yamakawa 2 1Dept of Ophthalmol, Omuta City Hosp 2Dept of Ophthalmol, Kurume Univ Sch of Med pp.713-717
Published Date 2014/5/15
DOI https://doi.org/10.11477/mf.1410105235
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Abstract. Purpose:To report the apparently beneficial effect of instillation of carbonic anhydrase inhibitor for cystoid macular edema(CME)in a patient of retinitis pigmentosa. Case:A 63-year-old female presented with blurring in the left eye. She had been diagnosed with CME in the left eye and glaucoma in both eyes 2 years before. She had received cataract surgery, vitrectomy and subtenon injection of corticosteroid 21 months before. Findings:Corrected visual acuity was 0.5 right and 0.2 left. Intraocular pressure was 12 mmHg right and 7 mmHg left. The left eye showed CME. Electroretinogram was flattened in both eyes, leading to the diagnosis of retinitis pigmentosa. The left eye started instillation of 1% brinzolamide twice daily. Optical coherence tomograph showed improved CME 7 months and a half later with visual acuity of 0.3. Conclusion:Instillation of carbonic anhydrase inhibitor was apparently effective for CME in a patient of retinitis pigmentosa.


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