One of the best-selling herbal medicines in the United States and worldwide is ginkgo biloba, which is used to treat tinnitus, asthma and tonsillitis among other things. Fraunfelder found two cases of hemorrhaging in the anterior chamber of the eye as well as reports of retinal hemorrhages in patients taking this agent. Ginkgo biloba inhibits platelet aggregation, and should be used with caution in patients taking aspirin because the effects could be amplified.
Echinacea purpurea is used to treat colds, coughs, fevers, urinary tract infections, burns and influenza. Reports of eye irritation and conjunctivitis have been associated with its topical use.
Chamomile is used to treat eye disease as well as insomnia, indigestion, migraine headaches, bronchitis, fevers, colds, inflammation and burns. Chamomile tea is used by some topically in and around the eyes to treat styes and runny, irritated eyes. Fraunfelder found reported cases of severe conjunctivitis related to chamomile's topical use.
Licorice is used to treat upper respiratory tract infections, ulcers, appendicitis and constipation. American Indians use licorice to treat inflammatory eye diseases. Fraunfelder found cases of transient vision loss after licorice ingestion, similar to what one might see with an ocular migraine without headache. The side effects appear to be associated with large doses.
Canthaxanthine, a carotenoid used in cosmetics, as a food coloring and to produce an artificial suntan when taken orally, causes deposits of the drug in the retina. The deposits appear to be absorbed over time, but ta
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Contact: Liana Haywood
haywoodl@ohsu.edu
503 494-4530
Oregon Health & Science University
14-Oct-2004