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Abstract #6118 Published in IGR 2-2
Acute angle closure glaucoma presenting in a young patient after administration of paroxytone
Browning AC; Reck AC; Chisholm IH; Nischal KKEye 2000; 14: 406-408
A 40-year-old man presented at the casualty department with blurred vision and discomfort in the right eye. Two weeks earlier he had started oral paroxytone. On examination reduced vision was found, and right mild inferior edema. IOP was 56 mmHg in the right eye. Gonioscopy revealed complete angle closure. The unaffected eye had a very narrow drainage angle. Paroxytone is a drug licensed for the treatment of depression, etc, which is reported to have few if any anti-cholinergic side-effects. To date, three elderly patients have been reported to have acute angle closure glaucoma secondary to this drug.
Dr. A.C. Browning, Department of Ophthalmology, University Hospital, Queens Medical Centre, South Block, Nottingham NG7 2UH, UK
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
