Ultrasound biomicroscopic analysis of drug-induced bilateral angle-closure glaucoma associated with supraciliary choroidal effusion

2003 ◽  
Vol 38 (4) ◽  
pp. 299-302 ◽  
Author(s):  
S. Waheeb ◽  
F. Feldman ◽  
P. Velos ◽  
C.J. Pavlin
Keyword(s):  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Drug Induced ◽  
Choroidal Effusion

scholarly journals Bilateral, Simultaneous, Acute Angle Closure Glaucoma in Pseudophakia Induced by Chlorthalidone

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Indra Durai ◽  
Mrunali Mohan Dhavalikar ◽  
Chandran Prem Anand ◽  
Venkatraman Ganesh ◽  
Ramaswami Krishnadas
Keyword(s):  
Case Reports ◽  
Crystalline Lens ◽  
Acute Angle ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Systemic Hypertension ◽  
Drug Induced ◽  
Idiosyncratic Reaction ◽  
Acute Angle Closure ◽  
Acute Angle Closure Glaucoma

Purpose. To report two persons with acute, bilateral, and simultaneous angle closure glaucoma in pseudophakia secondary to uveal effusions induced by administration of chlorthalidone.Methods. Case reports.Results. Bilateral shallow anterior chambers and high intraocular pressure with decline in visual acuity were reported in two patients within days of intake of chlorthalidone for systemic hypertension. Gonioscopy confirmed appositional angle closure while choroidal detachment and ciliochoroidal detachment were revealed on ultrasonographic studies. Discontinuing chlorthalidone and institution of aqueous suppressants to reduce IOP and cycloplegics reversed angle closure and glaucoma.Conclusions. Reports of angle closure glaucoma in pseudophakic eyes induced by idiosyncratic reaction to chlorthalidone confirms that osmotic changes in the crystalline lens has no role in the pathogenesis of drug induced glaucoma and reaffirms that glaucoma is secondary to ciliochoroidal detachment and ciliary body rotation and edema.

Acute bilateral angle-closure glaucoma and choroidal effusion associated with acetazolamide administration after cataract surgery

2011 ◽  
Vol 37 (2) ◽  
pp. 415-417 ◽  
Author(s):  
Raffaele Mancino ◽  
Chiara Varesi ◽  
Angelica Cerulli ◽  
Francesco Aiello ◽  
Carlo Nucci
Keyword(s):  
Cataract Surgery ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Choroidal Effusion

scholarly journals A review of drug-induced acute angle closure glaucoma for non-ophthalmologists

2015 ◽  
Vol 2015 (1) ◽  
pp. 6 ◽  
Author(s):  
Elliott Yann Ah-kee ◽  
Eric Egong ◽  
Ahad Shafi ◽  
Lik Thai Lim ◽  
James Li Yim
Keyword(s):  
Acute Angle ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Drug Induced ◽  
Acute Angle Closure ◽  
Acute Angle Closure Glaucoma

Drug-induced Bilateral Secondary Angle-Closure Glaucoma

2016 ◽  
Vol 25 (2) ◽  
pp. e99-e105 ◽  
Author(s):  
Rory M. Murphy ◽  
Belal Bakir ◽  
Colm O’Brien ◽  
Janey L. Wiggs ◽  
Louis R. Pasquale
Keyword(s):  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Drug Induced

scholarly journals Acetazolamid orális alkalmazása mellett jelentkező chorioidealeválás két esete: ismert idioszinkráziás hatás szokatlan megjelenési formája?

2017 ◽  
Vol 158 (50) ◽  
pp. 1998-2002 ◽  
Author(s):  
András Hári-Kovács ◽  
Judit Soós ◽  
Tamás Gyetvai ◽  
Andrea Facskó ◽  
Mihály Végh
Keyword(s):  
Acute Angle ◽  
Angle Closure ◽  
Drug Induced ◽  
Ocular Side ◽  
Sulpha Drugs ◽  
Acute Elevation ◽  
Sulpha Drug ◽  
Acute Angle Closure ◽  
Choroidal Effusion ◽  
Acute Angle Closure Glaucoma

Abstract: Sulpha drugs are widely employed in medicine for various diseases and disorders. During the last several decades, numerous papers had been published on supra ciliary and posterior choroidal effusion likely presenting as an idiosyncratic effect of these drugs especially of acetazolamide. In each publication, the effusion was associated with either an acute angle-closure glaucoma or transitory myopia or both of these as leading symptoms. In the current publication, authors report on two cases where the acetazolamide-induced choroidal effusion was an accidental finding without either a myopic shift in refraction or an acute elevation in intraocular pressure. To our best knowledge, ours is the first report in the literature describing this unusual, “silent” form of a sulpha drug-induced choroidal effusion. Since the choroidal involvement may vary in size and location, and is not necessarily associated with acute glaucoma and myopia, one can assume that a considerable amount of acetazolamide-related ocular side-effects will not be discovered. The above case report aims to draw the attention of other specialities to the need for ophthalmic examination for their patients taking sulpha drugs with acute visual deterioration. Orv Hetil. 2017; 158(50): 1998–2002.

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