6.10.2024
Reading time:
5 mins

Side effect of medication on the eye

Various active ingredients of drugs can cause eye side effects. If you feel that a medication is harming your eyes, it makes sense to see an ophthalmologist

Dr. Valery Vinzent Wittwer
Cortisone

Common ocular side effects of cortisone or steroid preparations include an increase in intraocular pressure. This leads to the development of glaucoma. Furthermore, after taking cortisone preparations for a longer period of time, the natural lens may become cloudy; this is known as secondary cataracts.

Contraceptive pill

So-called anticonceptives often contain estrogen and/or progesterone, which can lead to surface issues. The nature of the tear film is adversely affected; the consequences are eye complaints, in particular a feeling of dryness. In very rare cases, ocular thrombosis is associated with the use of anticonceptive agents.

Antiarrhythmic drugs (amiodarone)

Amiodarone (cordarone, amiodar, amiodarone, etc.) can cause persistent clouding of the cornea, known as a cornea verticillata. Furthermore, it can also lead to damage to the optic nerve.

Antidepressants

SSRI antidepressants reduce the production of tear fluid and cause dry eyes.

Serious ocular side effects

The following medications can cause serious eye side effects, and an ophthalmological examination is indicated for them in order to identify them at an early stage.

  • Chloroquine, hydroxychloroquine (immunosuppressant, rheumatic agent, antimalarial agent)
  • Canathxanthin (tanning tablets)
  • Tamoxifen (anticancer medicine)
  • Ethambutol/myambutol (tuberculosis drug)
  • Gilenya (immunosuppressant)

Depending on the medication used, different tests are necessary.
> Screening and management of Drug side effects > Guidelines for ophthalmologists.

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