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Abstract #50408 Published in IGR 14-2
Pilocarpine induced acute angle closure
Day AC; Nolan W; Malik A; Viswanathan AC; Foster PJBritish Medical Journal (Clinical Research Edition) Case Reports 2012; 2012:
A 34-year-old Caucasian female with advanced primary angle closure glaucoma developed acute angle closure following administration of g.pilocarpine 2% given as preparation for laser peripheral iridotomies. Subsequent investigations supported an underlying diagnosis of spherophakia with no systemic associations. She required peripheral iridotomies, bilateral clear lens extractions and left cyclodiode laser to control her intraocular pressures. This case highlights the situations when pilocarpine should be given with caution and also the increasing role of phacoemulsification as an alternative to filtration surgery in primary angle closure glaucoma management.
NIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital and UCL Institute of Ophthalmology, London, United Kingdom. alex.day@ucl.ac.uk
Full articleClassification:
11.2 Cholinergic drugs (Part of: 11 Medical treatment)
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)