[abstract] DE NOVO CATARACT DEVELOPMENT FOLLOWING A STANDARD COURSE OF HYPERBARIC OXYGEN THERAPY.

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[abstract] DE NOVO CATARACT DEVELOPMENT FOLLOWING A STANDARD COURSE OF HYPERBARIC OXYGEN THERAPY.

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Title: [abstract] DE NOVO CATARACT DEVELOPMENT FOLLOWING A STANDARD COURSE OF HYPERBARIC OXYGEN THERAPY.
Author: Gesell, LB; Adams, BS; Kob, DG
Abstract: BACKGROUND: Hyperbaric oxygen therapy under standard treatment protocols is known to cause varying degrees of visual changes such as progressive myopia, improvement in presbyopia, contraction of visual fields and development of retrolental fibroplasia. However, the development of cataracts in conjunction with hyperbaric oxygen therapy has only been reported in individuals receiving prolonged courses between 150 to 850 daily hyperbaric treatments. Published reports indicate that new cataracts do not develop during hyperbaric courses of 20-50 treatments. We report the first case of a patient with a history of normal ophthalmic exams who post-hyperbaric oxygen therapy developed bilateral de novo cataracts. CASE REPORT: A 49-year-old female began hyperbaric oxygen therapy for treatment of sacral osteomyelitis and recurrent failure of a myocutaneous flap. Her medical history was significant only for hypertension, asthma and scleroderma with minor manifestations. She was not taking steroids. Prior to hyperbaric oxygen therapy the patient's ophthalmic exams were normal except for mild myopia. There was no evidence of cataracts. Over an eleven-week period the patient underwent hyperbaric oxygen therapy at 2.5 ATA for 90 minutes with two 5 minute air breaks. She received a total of 48 treatments. During her course of therapy, the patient complained of visual changes. Twelve weeks after hyperbaric oxygen therapy was completed, the patient's ophthalmologic exams were significant for severe myopia (OD 20/200, OS 20/200) and cataract development. On follow-up exams the patient continued to complain of visual changes. Subsequent ophthalmologic exams demonstrated progression of both the myopia and cataracts. CONCLUSION: This is the first case report of de novo cataract development after a standard course of hyperbaric oxygen therapy in a young female with no significant risk factors. This case identifies the need to further investigate the effects of hyperbaric oxygen therapy and its potential effect on cataract development and progression.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/6862
Date: 2000

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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