Seeing beyond the norm: Unveiling ocular complications with atypical antipsychotics
Psychotropic medications, particularly antipsychotics, are known to elicit various adverse effects, with ocular complications being underreported yet significant. This case series presents three instances where atypical antipsychotics, namely Risperidone, Cariprazine, and Olanzapine, led to ocular d...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Industrial Psychiatry Journal |
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| Online Access: | https://journals.lww.com/10.4103/ipj.ipj_134_24 |
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| author | Akansha Bhardwaj Adarsh Bhardwaj Bhumika Ashu Sirowa |
| author_facet | Akansha Bhardwaj Adarsh Bhardwaj Bhumika Ashu Sirowa |
| author_sort | Akansha Bhardwaj |
| collection | DOAJ |
| description | Psychotropic medications, particularly antipsychotics, are known to elicit various adverse effects, with ocular complications being underreported yet significant. This case series presents three instances where atypical antipsychotics, namely Risperidone, Cariprazine, and Olanzapine, led to ocular dystonias and nystagmus. These adverse effects occurred at relatively low doses, highlighting the need for vigilant monitoring even with second-generation antipsychotics. Case descriptions delineate patients experiencing acute dystonic reactions and nystagmus following initiation or dose adjustment of atypical antipsychotics, leading to upward deviation of the eyes, involuntary movements, and nystagmus. Prompt recognition and management were crucial, with cessation of the offending medication resulting in symptom remission and subsequent stabilization with alternative treatments. Factors contributing to these adverse effects, such as dopamine receptor blockade and individual susceptibility, are explored, emphasizing the importance of comprehensive evaluation and open patient–physician communication. The present case series underscores the necessity of vigilant monitoring for ocular adverse effects, even with atypical antipsychotics, given their potential to induce acute dystonias and nystagmus. The presented cases advocate for heightened awareness among clinicians to promptly recognize and manage such rare complications, ensuring optimal patient care and treatment outcomes. |
| format | Article |
| id | doaj-art-ec39df2187a4460c888fdb181152a962 |
| institution | DOAJ |
| issn | 0972-6748 0976-2795 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Industrial Psychiatry Journal |
| spelling | doaj-art-ec39df2187a4460c888fdb181152a9622025-08-20T02:54:25ZengWolters Kluwer Medknow PublicationsIndustrial Psychiatry Journal0972-67480976-27952024-12-0133240941310.4103/ipj.ipj_134_24Seeing beyond the norm: Unveiling ocular complications with atypical antipsychoticsAkansha BhardwajAdarsh BhardwajBhumikaAshu SirowaPsychotropic medications, particularly antipsychotics, are known to elicit various adverse effects, with ocular complications being underreported yet significant. This case series presents three instances where atypical antipsychotics, namely Risperidone, Cariprazine, and Olanzapine, led to ocular dystonias and nystagmus. These adverse effects occurred at relatively low doses, highlighting the need for vigilant monitoring even with second-generation antipsychotics. Case descriptions delineate patients experiencing acute dystonic reactions and nystagmus following initiation or dose adjustment of atypical antipsychotics, leading to upward deviation of the eyes, involuntary movements, and nystagmus. Prompt recognition and management were crucial, with cessation of the offending medication resulting in symptom remission and subsequent stabilization with alternative treatments. Factors contributing to these adverse effects, such as dopamine receptor blockade and individual susceptibility, are explored, emphasizing the importance of comprehensive evaluation and open patient–physician communication. The present case series underscores the necessity of vigilant monitoring for ocular adverse effects, even with atypical antipsychotics, given their potential to induce acute dystonias and nystagmus. The presented cases advocate for heightened awareness among clinicians to promptly recognize and manage such rare complications, ensuring optimal patient care and treatment outcomes.https://journals.lww.com/10.4103/ipj.ipj_134_24acute dystoniaeye complicationsnystagmusocular side effectsoculogyric crisis |
| spellingShingle | Akansha Bhardwaj Adarsh Bhardwaj Bhumika Ashu Sirowa Seeing beyond the norm: Unveiling ocular complications with atypical antipsychotics Industrial Psychiatry Journal acute dystonia eye complications nystagmus ocular side effects oculogyric crisis |
| title | Seeing beyond the norm: Unveiling ocular complications with atypical antipsychotics |
| title_full | Seeing beyond the norm: Unveiling ocular complications with atypical antipsychotics |
| title_fullStr | Seeing beyond the norm: Unveiling ocular complications with atypical antipsychotics |
| title_full_unstemmed | Seeing beyond the norm: Unveiling ocular complications with atypical antipsychotics |
| title_short | Seeing beyond the norm: Unveiling ocular complications with atypical antipsychotics |
| title_sort | seeing beyond the norm unveiling ocular complications with atypical antipsychotics |
| topic | acute dystonia eye complications nystagmus ocular side effects oculogyric crisis |
| url | https://journals.lww.com/10.4103/ipj.ipj_134_24 |
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