A patient taking long-term amiodarone reports new progressive reduction in visual acuity rather than coloured haloes alone. What is the most

Question

A patient taking long-term amiodarone reports new progressive reduction in visual acuity rather than coloured haloes alone. What is the most appropriate response?

Accepted Answer

Arrange ophthalmological assessment; confirmed optic neuropathy or neuritis requires amiodarone withdrawal

Answer

Reduce amiodarone to alternate days and review visual acuity after one month

Answer

Arrange routine optometry review and continue amiodarone unless painful red eye develops

Answer

Check thyroid function first because amiodarone-related visual symptoms are usually endocrine

Answer

Reassure that progressive visual change is expected from benign corneal microdeposits during therapy

Levothyroxine and iron — GPhC CRA MCQ

A patient taking long-term amiodarone reports new progressive reduction in visual acuity rather than coloured haloes alone. What is the most appropriate response?