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Miscellaneous (13)

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Abstract #52068 Published in IGR 14-4

Acetazolamide-induced cilio-choroidal effusion after cataract surgery: unusual posterior involvement

Malagola R; Arrico L; Giannotti R; Pattavina L
Drug design, development and therapy 2013; 7: 33-36

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Idiosyncratic reactions to a large number of drugs have been reported to cause choroidal detachment and secondary angle-closure glaucoma (ACG). We report a case of bilateral acute ACG and peculiar choroidal effusion following administration of oral acetazolamide immediately after cataract surgery. Few cases of acute secondary ACG with choroidal effusion and anterior shift of the lens-iris diaphragm have been associated with acetazolamide compared with other sulfonamides. As far as we are aware, posterior involvement with retinal folds and papillary edema due to acetazolamide has not been described before.

Department of Ophthalmology, University of Rome "La Sapienza," Rome, Italy.

Full article

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Classification:

11.5.1 Systemic (Part of: 11 Medical treatment > 11.5 Carbonic anhydrase inhibitors)
9.4.11.1 Ciliary block (malignant) glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)

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