A 61-year-old woman with a history of systemic obesity, hypertension, renal failure with good control at present and type 2 diabetes mellitus of 7 years of evolution treated with insulin Glaxodiaith® for 2 years was associated with rosiglitazone 4mg
Diffuse macular edema treated with laser six months before and with maximum visions of 0.3 in the right eye and 0.250 in the left eye stood out as antecedents.
She went to the Teaching Unit referring to severe vision loss that prevented her from performing daily work in the last two months.
In the systemic examination a weight gain of 7 kilos (data reported by your primary care physician) with peripheral oedemas in the extremities is highlighted.
Visual acuity was 0.05 in both eyes.
At the bottom of the eye, severe bilateral diffuse macular edema was observed.
Due to the generalized retention of fluids a systemic examination was performed, ruling out renal and/or cardiac pathology establishing the association with rosiglitazone.
This drug was withdrawn and two months later, the patient had lost 5kg of consciousness and edemas.
Macular edema did not decrease and visual acuity at three months was 0.05 in both eyes.
