[Acute closure-angle glaucoma after treatment with ipratropium bromide and salbutamol aerosols].
We report a case of acute angle-closure glaucoma in a patient treated with bronchodilator nebulization. An 82-year-old man with chronic obstructive bronchopathy was treated for acute respiratory decompensation with salbutamol and ipratropium bromide aerosols. Twenty-four hours after beginning the treatment, the patient developed acute angle-closure glaucoma which resolved rapidly with appropriate treatment. The case emphasizes the importance of precautionary measures (waterproof glasses and inhalation masks). In addition patients with a high risk of angle-closure glaucoma should be detected prior to prescribing bronchodilating aerosols.
De Saint Jean
M
M
Pôle Hospitalo-Universitaire d'Ophtalmologie Saint-Antoine - Quinze-Vingts, Paris.
Bourcier
T
T
Borderie
V
V
Moldovan
M
M
Touzeau
O
O
Laroche
L
L
D000208:Acute Disease; D000280:Administration, Inhalation; D000368:Aged; D000369:Aged, 80 and over; D000420:Albuterol / Q000009:adverse effects*; D001993:Bronchodilator Agents / Q000009:adverse effects*; D015812:Glaucoma, Angle-Closure / Q000139:chemically induced*; D006801:Humans; D009241:Ipratropium / Q000009:adverse effects*; D008297:Male
D001993:Bronchodilator Agents; D009241:Ipratropium; D000420:Albuterol