title: [Acute closure-angle glaucoma after treatment with ipratropium bromide and salbutamol aerosols].
abstract: 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.
authors.affiliation: Pôle Hospitalo-Universitaire d'Ophtalmologie Saint-Antoine - Quinze-Vingts, Paris.
authors.forename: M
authors.initials: M
authors.lastname: De Saint Jean
authors.forename: T
authors.initials: T
authors.lastname: Bourcier
authors.forename: V
authors.initials: V
authors.lastname: Borderie
authors.forename: M
authors.initials: M
authors.lastname: Moldovan
authors.forename: O
authors.initials: O
authors.lastname: Touzeau
authors.forename: L
authors.initials: L
authors.lastname: Laroche
mesh_terms: 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
chemical_list: D001993:Bronchodilator Agents; D009241:Ipratropium; D000420:Albuterol