Use of ECT in the presence of acute bilateral posterior vitreous detachmanet-Reference-Cited by-同舟云学术

Use of ECT in the presence of acute bilateral posterior vitreous detachmanet

Published:2018-01-15 Issue:2 Volume:26 Page:193-195
ISSN:1039-8562
Container-title:Australasian Psychiatry
language:en
Short-container-title:Australas Psychiatry

Author:

Taye Tesema¹,Dobranici Letitia²,Fisher Mark²,Cullum Sarah³^ORCID

Affiliation:

1. Consultant Psychiatrist, Department of Psychogeriatrics, Middlemore Hospital, Auckland, New Zealand; Counties Manukau District Health Board, Auckland, New Zealand

2. Consultant Psychiatrist, Department of Psychogeriatrics, Middlemore Hospital, Auckland, New Zealand

3. Consultant Psychiatrist, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand

Abstract

Objectives: We describe a case of acute bilateral posterior vitreous detachment (PVD) in a 71-year-old female, which developed during a course of electroconvulsive therapy (ECT) for treatment-resistant depression. The risks and benefits of continuing ECT were assessed and the patient completed the full course of 16 ECT treatments without further ophthalmic complications. Conclusions: As the incidence of PVD increases with age, and ECT is used more frequently in elderly people with depression, we recommend paying attention to ophthalmic symptoms as part of the routine clinical monitoring of ECT side effects. If ophthalmic symptoms occur, the risks and benefits of ECT need to be weighed up including consultation with an ophthalmologist.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Link

http://journals.sagepub.com/doi/pdf/10.1177/1039856217749023

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