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Case Report Undersea Hyperb Med 2018

Use of hyperbaric oxygen therapy in quinine-associated visual disturbances

Laes J, Hendriksen S, Cole J — Undersea Hyperb Med, 2018

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers reported a case of a middle-aged woman who developed severe visual disturbances after intentionally ingesting quinine as part of a drug overdose, treated with HBOT after a complicated hospital course including shock requiring multiple vasopressors.

What They Found

Visual disturbances appeared to improve after HBOT sessions. Several months after hospitalization, visual defects persisted on examination but with corrective lenses the patient achieved normal visual acuity. No adverse events were attributed to HBOT.

What This Means for Canadian Patients

Quinine retinal toxicity is rare but can occur from overdose or antimalarial use. Canadian poison centers and ophthalmologists encountering quinine-induced retinal damage have very limited treatment options; this case supports considering HBOT as a potential rescue therapy when standard treatments are unavailable.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

This is a single case report where the profound shock the patient experienced could independently explain some visual damage and recovery; the specific effect of HBOT cannot be isolated.

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Study Details

Study Type Case Report
Category Ocular / Retinal
Source Pubmed
PubMed ID 30241126
Year Published 2018
Journal Undersea Hyperb Med
MeSH Terms Antimalarials; Female; Humans; Hyperbaric Oxygenation; Middle Aged; Quinine; Retinal Diseases; Vision Disorders

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.