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Abstract #76528 Published in IGR 19-3
Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration
Mahmoud A; Abid F; Ksiaa I; Zina S; Messaoud R; Khairallah MBMC Ophthalmology 2018; 18: 50
BACKGROUND: To report a case of bilateral acute angle closure-glaucoma following the use of subcutaneous Tramadol. CASE PRESENTATION: A 42-year-old healthy man with unremarkable past medical and ocular history, was admitted to the Orthopedic Department for surgical treatment of a bilateral open fracture of the femur following a road accident. Three hoursafterTramadolsubcutaneous injection, the patient complained of a bilateral acute painful visual loss with persistent vomiting. An ocular examination showed bilateral acute angle-closure-glaucoma. The patient was treated with topical anti-glaucoma therapy and intravenous Mannitol 20%.After resolution of ocular hypertension attack, NdYag laser peripheral iridotomy was performed on both eyes. After a follow-up period of 7 days visual acuity improved to 20/20 in both eyes and intraocular pressure returned to normal levels. CONCLUSIONS: This case highlights the risk of developing bilateral acute angle-closure glaucoma after Tramadol administration.
Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia; Faculty of Medicine, University of Monastir, Monastir, Tunisia. mahmoudanisss@hotmail.fr.
Full articleClassification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
11.15 Other drugs in relation to glaucoma (Part of: 11 Medical treatment)
12.2 Laser iridotomy (Part of: 12 Surgical treatment)