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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Woman with vigorexia experiencing severe bilateral vision loss
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Vol. 99. Issue 9.
Pages 408-411 (September 2024)
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Vol. 99. Issue 9.
Pages 408-411 (September 2024)
Short communication
Woman with vigorexia experiencing severe bilateral vision loss
Mujer vigoréxica con pérdida severa bilateral de visión
V.M. Asensio-Sánchez
Corresponding author
, I. López-Miñarro
Servicio de Oftalmología, Hospital Clínico Universitario, Valladolid, Spain
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Abstract

We describe a 28-year-old Caucasian female with vigorexy, who had no previous ocular history. She presented with bilateral gradual painless reduction in vision over the past 3 weeks. She had been taking niacin supplements, averaging 500 mg daily, for 7 years. Fundus examination revealed bilateral CME, which was confirmed by ocular coherence tomography scan. Fundus fluorescein angiography did not reveal any fluid leakage. Niacin supplementation was discontinued, and after 2 months, the CME had completely resolved, and the best corrected visual acuities improved to 1 in both eyes.

Keywords:
Vigorexy
Niacin supplements
Cystoid macular edema
Fundus fluorescein angiography
Niacin maculopathy
Resumen

Se describe una mujer caucásica de 28 años con vigorexia, sin antecedentes oculares previos. Se presentó con una pérdida gradual y sin dolor de la visión bilateral en las últimas 3 semanas. Había estado tomando suplementos de niacina, con un promedio de 500 mg diarios, durante 7 años. El examen de fondo de ojo reveló edema macular cistoide bilateral, confirmado mediante tomografía de coherencia óptica. La angiografía con fluoresceína no mostró fugas de líquido. Se interrumpió la suplementación con niacina y, después de 2 meses, el edema macular cistoide se resolvió por completo y las agudezas visuales corregidas mejoraron a 1 en ambos ojos.

Palabras clave:
Vigorexia
Suplementos de niacina
Edema macular cistoide
Angiografía con fluoresceína
Maculopatía por niacina

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