Bull's-eye maculopathy secondary to herbal toxicity from uva ursi.
关键词
抽象
OBJECTIVE
To report a case of bilateral bull's-eye maculopathy in a patient who ingested uva ursi, a known inhibitor of melanin synthesis, for 3 years before the onset of symptoms.
METHODS
Observational case report.
METHODS
Both eyes of a female patient were examined in the clinical practice setting.
RESULTS
A 56-year-old woman who ingested uva ursi for 3 years noted a decrease in visual acuity within the past year. Ocular examination including fluorescein angiography revealed a typical bull's-eye maculopathy bilaterally.
CONCLUSIONS
Uva ursi is a known inhibitor of melanin synthesis. It is necessary to broaden the list of potential retinal toxic drugs to include herbal adjuvants such as Uva Ursi and to elicit a history of their use in patients with unexplained ocular findings.