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مرکز اطلاعات علمی SID1
اسکوپوس
مرکز اطلاعات علمی SID
ریسرچگیت
strs
Issue Info: 
  • Year: 

    2019
  • Volume: 

    5
  • Issue: 

    3
  • Pages: 

    45-46
Measures: 
  • Citations: 

    404
  • Views: 

    20493
  • Downloads: 

    18125
Abstract: 

Citalopram, a selective serotonin reuptake inhibitor (SSRI), was approved by the Food and Drug Administration in 1998 as a safe and well-tolerated antidepressant; the use of it may result in rare and sometimes dangerous side effects. Diplopia is a rare adverse effect of citalopram that comes with double vision and disrupts daily living. Currently, only two cases of citalopram-related Diplopia have been internationally reported. The current paper presents a third reported case of Diplopia following citalopram use in a healthy subject. A 47-year-old man involved in an accident was subsequently affected by serious depression. Following 6 months of a 40-mg daily dose of citalopram, the patient complained of itchy irritated eyes and double vision symptomatic of Diplopia. He was referred to an eye specialist, who confirmed no apparent problems following an examination of the eye. After a decrease in the dose of citalopram, the eye symptoms steadily decreased and eventually disappeared. The rapid disappearance of Diplopia subsequent to the discontinuing use of citalopram suggests an association between the adverse reaction and the medicine. As a result, it is recommended that physicians inform patients of the possibility of induction of Diplopia related to the use of citalopram and other SSRIs. In the future, the prescription of SSRIs at higher doses may be ordered with and on the recommendation of patients, who have been aware of the risks of the drug.

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Issue Info: 
  • Year: 

    2012
  • Volume: 

    5
  • Issue: 

    2
  • Pages: 

    136-138
Measures: 
  • Citations: 

    0
  • Views: 

    43720
  • Downloads: 

    16607
Abstract: 

We present a case report of bupropion-induced Diplopia in a 26-year-old woman who suffered from atypical depression. After four weeks of taking bupropion (225 mg per day) she complained of headaches, blurred vision, and Diplopia. No neurological and ophthalmologic abnormal signs were found. Her brain magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) were normal as well. After tapering off and discontinuing bupropion, her Diplopia resolved within a week.

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Issue Info: 
  • Year: 

    2020
  • Volume: 

    6
  • Issue: 

    2
  • Pages: 

    169-172
Measures: 
  • Citations: 

    0
  • Views: 

    28253
  • Downloads: 

    13025
Abstract: 

Background: Diplopia, or double vision, is a common ophthalmologic complaint with many underlying causes, ocular and neurological. Aripiprazole has been reported to have fewer adverse effects and better efficacy than other atypical antipsychotics. Although ocular side effects of aripiprazole are not remarkable, two cases of Diplopia associated with aripiprazole have been reported in the literature. Objectives: Herein, we report the third case of Diplopia, after the aripiprazole prescription in a woman with depressive disorder. Case Presentation: A 37-year-old woman was brought to our clinic with symptoms of sleep loss, displeasure, auditory hallucination, and pessimistic thoughts. After a clinical interview, the patient was diagnosed with depression with psychotic features according to the Diagnostic and Statistical Manual (DSM-V) of mental disorders. She underwent treatment with 15 mg/d aripiprazole and 20 mg/d fluoxetine. Her symptoms reduced after three months as indicated by the visual analog scale. However, the patient returned to the clinic and complained of double vision. Neither neurological nor ophthalmological problems were observed following examinations by specialists. When the dose of the drug decreased and eventually discontinued, Diplopia disappeared over 24 hours. Conclusion: Since the patient had no history of Diplopia and two cases of Diplopia associated with aripiprazole were previously reported in the literature, we expected that the Diplopia was related to the recently prescribed aripiprazole treatment. Physicians should be aware of the possible risk of Diplopia-induced by aripiprazole and recommend patients discontinuing the drug immediately if complications have occurred.

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گارگاه ها آموزشی
Issue Info: 
  • Year: 

    2016
  • Volume: 

    11
  • Issue: 

    2
  • Pages: 

    234-236
Measures: 
  • Citations: 

    0
  • Views: 

    47949
  • Downloads: 

    27938
Keywords: 
Abstract: 

CASE PRESENTATION: A 16‑year‑old girl presented with drooping of the left upper eyelid and Diplopia in primary position, which was worse in right gaze. Both eyes had visual acuity of 20/20, intraocular pressure of 16 mmHg, and normal slit lamp and fundus examinations. The response to color vision testing using Ishihara plates was 12/12 in both eyes. The video shows the ocular motility findings, and Figure1 depicts the results of the visual field examination [Video 1]. Results of magnetic resonance imaging of the brain are shown in Figures 2 and 3. The parents did not accept to perform any further work‑up…

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Issue Info: 
  • Year: 

    2019
  • Volume: 

    12
  • Issue: 

    3 (45)
  • Pages: 

    1-18
Measures: 
  • Citations: 

    0
  • Views: 

    280
  • Downloads: 

    286
Abstract: 

The Writers intention in this article is to study the Herats vulgar distich couplet. These distich couplet took arouned four hundred year of time. The method of studing is like this, at first about three hundred distich couplet choosen and analysed based on them accomplished, and these results mentioned mentioned in a short formed in this article. and these results mentioned in a short form in this article. In the articles text for the limitation reason some distich couplet has been chosen from the origin distich couplet.

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Issue Info: 
  • Year: 

    2019
  • Volume: 

    22
  • Issue: 

    11
  • Pages: 

    671-672
Measures: 
  • Citations: 

    0
  • Views: 

    28675
  • Downloads: 

    14580
Abstract: 

Methanol is a clear liquid with high toxicity. Methanol intoxication may result from accidental exposure, overconsumption of compounds containing methanol with suicidal intent, or following consumption of distilled and contaminated alcoholic beverages. This report describes a case of transdermal methanol intoxication, which is a rare condition. A 58-year-old woman presented with nausea, vomiting, weakness, Diplopia and dizziness. On neurological examination, she only had Diplopia. On physical examination, a hyperemic lesion with clear borders was found over the right knee. The patient’ s recent medical history revealed that four days prior to the onset of symptoms, she had covered her knee with a methanol-soaked bandage in an attempt to alleviate her knee pain. She had a high osmolar gap as well as high anion-gap metabolic acidosis (HAGMA). Methanol intoxication was suspected due to HAGMA and high osmolar gap. Serum methanol levels were subsequently measured and found to be 37. 9 mg/dL. The patient was treated with intravenous (IV) bicarbonate, IV ethyl alcohol and hemodialysis. She was discharged with no central nervous system or ophthalmologic sequelae. Methanol poisoning should be kept in mind in patients with Diplopia and unexplained metabolic acidosis. Although most methanol intoxication cases occur after oral ingestion, it should be considered that methanol poisoning may occur transdermally.

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strs
Author(s): 

AYATOLLAHI J. | AYATOLLAHI A. | AYATOLLAHI J.MSHID

Issue Info: 
  • Year: 

    2013
  • Volume: 

    20
  • Issue: 

    3 (SN 69)
  • Pages: 

    256-259
Measures: 
  • Citations: 

    0
  • Views: 

    588
  • Downloads: 

    171
Abstract: 

Introduction: Orbital pseudotumor, also known as idiopathic orbital inflammatory syndrome (IOIS), is a benign, non- infective inflammatory condition of the orbit without identifiable local or systemic causes. The disease may mimics a variety of pathologic conditions. We present a case of pseudotumor observed in a patient admitted under the name of orbital cellulities.Case Report: A 26-year-old woman reffered to our hospital with the history of left ocular pain and headache 2 days before her visit.. Ophthalmological examination of the patient was normal except for the redness and lid edema, mild chemosis and conjunctival injection. General assessment was normal but a low grade fever was observed. She was hospitalized as an orbital cellulitis patient. She was treated with intravenous antibiotics. On the third day, suddenly Diplopia, proptosis in her left eye and ocular pain in her right side appeared. MRI revealed bilateral enlargement of extraocular muscles. Diagnosis of orbital pseudotumor was made and the patient was treated with oral steroid.She responded promptly to the treatment.Antibiotics were discontinued and steroid was tapered in one month period under close follow up.Conclusion: The clinical features of orbital pseudotumor vary widely. Orbital pseudotumor and orbital cellulitis can occasionally demonstrate overlapping features.. Despite complete physical examination and appropriate imaging, sometimes correct diagnosis of the disease would be difficult.

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Issue Info: 
  • Year: 

    2020
  • Volume: 

    17
  • Issue: 

    1
  • Pages: 

    0-0
Measures: 
  • Citations: 

    0
  • Views: 

    5357
  • Downloads: 

    4353
Abstract: 

Objectives: Damages to the middle third of the facial bone generally involve the orbital skeleton and can lead to eye impairment. In this study, it is attempted to determine the incidence of ophthalmic injuries in maxillofacial trauma with zygomatic bone fractures. Materials and Methods: One hundred and fifteen cases with ophthalmic (ocular) involvement after maxillofacial trauma were referred to the Shariati Hospital, Tehran, Iran, and were visited at the Ophthalmology Department between 2016 and 2018. Zygomatic fractures and resulting ocular complications were evaluated in 87 males and 28 females with the mean ages of 26 and 32 years, respectively. Results: Subconjunctival ecchymosis was detected in 23. 07% of men and 21. 05% of women. Displacement of the palpebral fissure was detected in 26. 5% of men and 27. 6% of women. Furthermore, the unequal pupillary level was observed in 18. 37% of men and 15. 78% of women. Diplopia was detected in 8. 9% of men and 10. 5% of women. Additionally, enophthalmos was observed in 23. 1% of men and 25% of women. Conclusion: The most common ocular presentations in midfacial trauma are Diplopia and reduced visual acuity. Even after the operation, a significant number of patients experience poor vision and Diplopia. Ophthalmology consultation is essential for these patients.

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Author(s): 

MAHMOUD HASHEMI HAMID

Issue Info: 
  • Year: 

    2008
  • Volume: 

    21
  • Issue: 

    2 (55)
  • Pages: 

    128-131
Measures: 
  • Citations: 

    0
  • Views: 

    1014
  • Downloads: 

    213
Abstract: 

Background and Aim: Zygomatic fractures are common among oral and maxillofacial problems and ocular injuries are of great importance, the prevalence of ocular problems following zygomatic fractures in Iran is not clear so we performed this study to evaluate this problem in patients referring to Shariati Hospital.Materials and Methods: In this descriptive, cross-sectional study, we evaluated the patients who referred to department of oral and maxillofacial surgery of Shariati hospital for ocular complains following zygomatic fractures. The evaluation was performed both clinically and historically.Results: 115 patients were examined (87 males and 28 females) with the mean age of 26 for males and 32 for females. The prevalence of ocular injuries were as follows: subconjunctival ecchymosis: 23.07% for males and 21.05% for females. Displacement of palpebral fissure: 26.5% for males and 27.6% for females. Unequal papillary levels: 18.37% for males and 15.78% for females. Diplopia: 8.9% for males and 10.5% for females. Enophthalmos: 23.1% for males and 25% for females.Conclusion: It is strongly recommended to refer patients with zygomatic fracture for an ophthalmologic consultation.

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Issue Info: 
  • Year: 

    2015
  • Volume: 

    14
  • Issue: 

    6
  • Pages: 

    681-689
Measures: 
  • Citations: 

    0
  • Views: 

    713
  • Downloads: 

    475
Abstract: 

Background and Objective: The management of orbital fractures is one of the most challenging area in facial trauma. No consensus exists on the choice of implants to be used for orbital floor reconstruction. Here we present the short term results of the outcome of autogenous ramus graft versus alloplastic materials in a randomized prospective clinical trial.Subjects and Methods: A total of 22 patients with orbital floor fracture were entered in our study in two groups randomly. Patients of first group were treated by autograft of lateral cortex from mandibular ramus, and the patients of second group by titanium mesh as an alloplastic material. All patients were followed for 6 months and enophthalmos, Diplopia, cheek paresthesia and infection rate were assessed.Results: There were no significant differences between two groups in respect to enophthalmos(p>0.8), Diplopia, vertical dystopia (p>0.5) cheek paresthesia and infection rate. Both mandibular ramus and alloplastic titanium mesh can be used in orbital floor reconstruction regardless of size of defect.Conclusion: Both mandibular ramus autograft and alloplastic titanium mesh are reliable and successful techniques to address the orbital floor fracture. Ramus region provides an appropriate volume of bone with vascularization, low extrusion rate and so inert, but donor site morbidity and more time-consuming are disadvantages. Highly biocompatibility, minimal resorption potential, well-recognized osseointegration and contouring, no donor site morbidity and less time consuming are advantages of titanium mesh; but the risk of graft extrusion or anticipated difficulty while insertion and removing the material if needed because of fibrous ingrowth and also additional cost required, are its drawbacks.

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