Ophthalmologic findings in patients using oral contraception.

Abstract:

:A detailed study was initiated to investigate thoroughly the possibility that any significant ophthalmologic changes might have occurred in patients using oral contraceptives (OCs) for varying periods. There were 212 patients and 50 control patients who were selected at random, 1/2 from private ophthalmology practice and 1/2 from Planned Parenthood Centers in Los Angeles. During eye examinations, the visual acuity and tonometric measurements were recorded. After pupillary dilation, slit-lamp and funduscopic examinations were performed. Among the compounds being taken by patients in this program were norethynodrel-mestranol combinations, norethindrone-mestranol preparations, medroxyprogesterone acetate with ethinyl estradiol, norethindrone acetate-ethinyl estradiol, and norethindrone-mestranol sequential. None of the control patients were using any medication similar to that of the patients under study, and all were given the same examination by the same opthalmologist. A substantial percentage of patients using OCs had some degree of ocular pathology. Much of this was of an insignificant variety and could in no way be related to OC use. In 212 patients (424 eyes) there were 6 instances in which there were potentially progressive lens conditions of unknown cause. None was of the classic complicated or toxic types of cataract. In the small group of control patients, 4% of the eyes had subcapsular vacuoles of the lens. In the contraceptive-treated group, there were only approximately 1.5% showing similar potentially progressive lens pathology. There was 1 case of potential galucoma in the control group and 1 in the contraceptive-treated group. No papilledema was observed in this series.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Faust JM,Tyler ET

doi

10.1016/s0015-0282(16)35820-4

subject

Has Abstract

pub_date

1966-01-01 00:00:00

pages

1-6

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)35820-4

journal_volume

17

pub_type

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