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This is a report of a 53 year old woman who developed acute angle closure glaucoma after taking paroxetine. Paroxetine is a selective serotonin uptake inhibitor. It is an antidepressant which is supposed to be with little anti-cholinergic activity. This patient reported a period of pain in the eye and reduced vision six months before she came in with the acute angle-closure glaucoma. She had been taking paroxetine. She stopped the medication after symptoms and they resolved spontaneously. She had recommenced medication three days prior to her later presentation with acute angle-closure glaucoma. The point made by these authors is that even paroxetine is not free of causing acute angle-closure glaucoma. This is the fourth report on this consequence.
HGB Bennett, Tennent Institute of Ophthalmology, Gartnavel General Hospital, Great Western Road, Glasgow G12 0YN, Scotland, UK
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)