Introduction
Amiodarone is a potassium channel blocking antiarrythmal medication with a widely use in cardiac patients. It has a documented side effects including neurologic, gastrointestinal, dermatologic, cardiovascular, and ophthalmic. The ophthalmic pattern is known as Cornea verticillata, Fleischer vortex, Vortex keratopathy or Whorl keratopathy. It is a condition that characterised by corneal deposits at the level of the basal epithelium forming a golden-brown whorl pattern. It can be occurred not only by amiadarone but also by a variety of drugs such as chloroquine, chlorpromazine and tamoxifen. Here, we aimed to present a case of a patient having toxic keratopathy after a long term use of amiodarone.
Case
The patient underwent mitral valve replacement and three vessel coronary artery bypass surgery in 2013. Following the operation Amiadarone treatment was initiated due to atrial fibrillation. After the six month use of the drug, the patient presented to our ophthalmology department with the complaint of halos and glare in both eyes. Ophthalmic examination revealed deep epithelial golden-brown whorl pattern corneal deposits in both eyes which is typical for amiodarone keratopathy.
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