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Pharmacological dilatation of pupils is known to precipitate acute angle closure glaucoma in individuals with shallow anterior chambers and narrow occludable anterior chamber angles. However, acute angle-closure glaucoma following accidental instillation into the eye of an anticholinergic nebuliser solution used for chronic obstructive pulmonary disease is extremely rare. In this case report, angle-closure glaucoma appeared to be precipitated when the patient squirted the neat solution of ipratropium bromide, an anticholinergic agent, into her eye.
Dr D. Varma, Department of Ophthalmology, Leeds General Infirmary, Leeds, W. Yorkshire LS2 9NS, UK
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)