Acute bilateral angle-closure glaucoma and choroidal effusion associated with acetazolamide administration after cataract surgery.
We present an interventional case report of a 76-year-old man who developed bilateral angle-closure glaucoma with extensive choroidal detachment following administration of oral acetazolamide immediately after routine cataract extraction and intraocular lens implantation. Rapid clinical improvement occurred after acetazolamide was stopped and high-dose intravenous steroid therapy was given. Although extremely rare, this adverse effect should be considered in patients who develop acute bilateral angle-closure glaucoma and choroidal effusion after cataract surgery.
Ophthalmology Unit, Tor Vergata University of Rome, Rome, Italy. nucci@med.uniroma2.it
Raffaele
R
Mancino
Chiara
C
Varesi
Angelica
A
Cerulli
Francesco
F
Aiello
Carlo
C
Nucci
D000086:Acetazolamide / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D000208:Acute Disease; D000284:Administration, Oral; D000368:Aged; D002257:Carbonic Anhydrase Inhibitors / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D002387:Cataract Extraction; D015862:Choroid Diseases / Q000139:chemically induced* / Q000175:diagnosis; D005654:Fundus Oculi; D015812:Glaucoma, Angle-Closure / Q000139:chemically induced*; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007275:Injections, Intravenous; D019654:Lens Implantation, Intraocular; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D011182:Postoperative Care; D014463:Ultrasonography
D002257:Carbonic Anhydrase Inhibitors; D005938:Glucocorticoids; D000086:Acetazolamide; D008775:Methylprednisolone