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Visual side effects of medications Dr Soma FaragWhat are the commonly reported side effects? • Abnormal vision • Blurred vision • Poor focusing ability • Dry/irritated eyes • Color perception changes • Altered pupil sizeWhat drugs can you think of that have ocular side effects? Ways drugs can affect the eye M ydriasis M ioss Alter intraocular pressure Affect retinal function Affect the optic nerve Cycloplegia Amiodarone Keratopathy Digoxin Visual symptoms Flickering or flashes of light or colored spots Snowy, hazy, or dimming of visionCorticosteroids Aminoquinolines • Decrease in corneal sensation has been reported in 50% of those taking chloroquine • May decrease accommodation • May cause white, flakelike posterior subcapsular lens opacityAgents for Erectile Dysfunction Sildenafil Citrate (Viagra) Vardenafil (Levitra) Tadalafil (Cialis) Anti-seizure agents Gabapentin Topiramate LamotrigineBisphosphonates Alendronate Zoledronic acid Risedronate Allergy Medications Long-acting tricyclic antihistamine & selective peripheral histamine H1 receptor antagonist Antibiotics Ethambutol Chloramphenicol Isoniazid Nitrofurantoin TetracyclinesFEEDBACK