Acute angle-closure glaucoma associated with intranasal cocaine abuse.
OBJECTIVE
We report a case of acute angle-closure glaucoma associated with ipsilateral intranasal cocaine abuse.


METHODS
We examined and treated a 55-year-old white man who developed primary angle-closure glaucoma in the right eye shortly after intranasal cocaine abuse.


RESULTS
The patient was successfully treated with Nd:YAG laser peripheral iridotomy on the right eye.


CONCLUSIONS
Cocaine causes mydriasis and can induce angle closure in predisposed individuals.
Mitchell
J D
JD
Washington National Eye Center, Washington Hospital Center, Washington, DC 20010-2975, USA.
Schwartz
A L
AL
D000208:Acute Disease; D000281:Administration, Intranasal; D003042:Cocaine / Q000009:adverse effects; D015812:Glaucoma, Angle-Closure / Q000139:chemically induced / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007498:Iris / Q000601:surgery; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D015878:Mydriasis / Q000139:chemically induced / Q000601:surgery; D019966:Substance-Related Disorders / Q000150:complications*
D003042:Cocaine