Fish allergy causing angioedema and secondary angle-closure glaucoma

Autor: Jennifer Ann Marie Calder, Donovan Calder
Rok vydání: 2013
Předmět:
Zdroj: Case Reports. 2013:bcr2012007691-bcr2012007691
ISSN: 1757-790X
DOI: 10.1136/bcr-2012-007691
Popis: A 56-year-old woman with a history of primary angle-closure glaucoma presented with acute generalised swelling, and facial angioedema following a fish meal. She complained of nausea, vomiting, headache, pain in both eyes and acute loss of vision. Her visual acuity was reduced and intraocular pressures (IOP) were elevated. Gonioscopy revealed complete angle closure in the left eye and complete to partial closure in the right eye. Through existing peripheral iridotomies the anterior capsules were seen pressed up against the iris of both eyes. A diagnosis of angle-closure glaucoma was made, medications were started to reduce the elevated intraocular pressure and systemic antihistamine to counter the allergic reaction. She was hospitalised for further management. A follow-up at 2 years revealed her visual acuities and IOP had remained normal.
Databáze: OpenAIRE