Bilateral simultaneous acute angle closure glaucoma precipitated by non-prescription cold and flu medication
| Autor: | Jamie E Craig, Mona S Awadalla, Adam K Rudkin, Timothy Gray |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Corneal Haze genetic structures medicine.drug_class Nausea business.industry Glaucoma Common cold medicine.disease eye diseases Surgery Acute angle-closure glaucoma Anesthesia Emergency Medicine Vomiting medicine Anticholinergic Non prescription sense organs medicine.symptom business |
| Zdroj: | Emergency Medicine Australasia. 22:477-479 |
| ISSN: | 1742-6731 |
| Popis: | We present a case of a 63-year-old woman who presented to an ED with bifrontal headache, nausea and vomiting and reduced visual acuity. Examination revealed bilateral elevated intraocular pressures, corneal haze, shallow anterior chambers and poorly reactive, mid-dilated pupils. Diagnosis was made of simultaneous bilateral acute angle closure glaucoma. A complete drug history revealed that she had been using an over-the-counter cold and flu remedy whose active ingredients included atropa belladonna, an herb with anticholinergic properties. It is likely that drug-induced dilatation of the individual's pupils precipitated this angle closure emergency. In the report we discuss the risk factors for angle closure glaucoma, and review the local and systemic drugs known to trigger this sight-threatening emergency. |
| Databáze: | OpenAIRE |
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