ID | 110706 |
Author |
Shinomiya, Kayo
Department of Ophthalmology and Visual Neuroscience, The University of Tokushima, School of Medicine
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Kajima, Makoto
Department of Ophthalmology and Visual Neuroscience, The University of Tokushima, School of Medicine
Tajika, Hiroko
Department of Ophthalmology and Visual Neuroscience, The University of Tokushima, School of Medicine
Shiota, Hiroshi
Department of Ophthalmology and Visual Neuroscience, The University of Tokushima, School of Medicine
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Nakagawa, Ryuji
Center for Maternity and Perinatal Care, Tokushima University Hospital
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Saijyou, Takahiko
Center for Maternity and Perinatal Care, Tokushima University Hospital
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Keywords | Renal failure
mydriatic drug
phenylephrine
retinopathy of prematurity
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Content Type |
Journal Article
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Description | The patient was a low birth weight infant with a history of renal failure. She was referred to our department 29 days after birth to undergo fundus examination. She experienced renal failure after undergoing a mydriatic test and needed medical treatment. Eyedrops containing phenylephrine were instilled several times and additional drops were also instilled during the fundal examination using an eyelid retractor, therefore the blood concentration of the drug was elevated sufficiently to contract the renal vessels, ultimately inducing renal failure. The present case suggests that since the use of mydriatic eyedrops in low birth weight infants could induce renal failure, the following points should be considered : 1) Mydriatic eyedrops should be used with caution by monitoring mydriasis and avoiding excessive instillation 2) After instillation, the lacrimal region should be compressed to prevent the flow of mydriatic drops to the nasolacrimal canal and 3) Vital signs should be monitored to check the onset of any adverse reactions for 12 hours after fundal examination.
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Journal Title |
The journal of medical investigation : JMI
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ISSN | 13431420
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NCID | AA11166929
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Volume | 50
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Issue | 3-4
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Start Page | 203
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End Page | 206
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Sort Key | 203
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Published Date | 2003
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EDB ID | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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