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Abstract #15854 Published in IGR 2-3
Bilateral angle closure glaucoma and visual loss precipitated by antidepressant and antianxiety agents in a patient with depression
Kadoi C; Hayasaka S; Tsukamoto E; Matsumoto M; Hayasaka Y; Nagaki YOphthalmologica 2000; 214: 360-361
A 71-year-old woman with depression had been treated with an antidepressant (maprotiline) and anti-anxiety agents (clotiazepam and alprazolam). She had previously complained of ocular pain and blurred vision. However, thorough ocular examination was not performed at those times. On examination, visual acuity was no light perception OD and hand motion OS. Intraocular pressure was 33 mmHg OU. Moderately dilated pupils, atrophic irises, shallow anterior chambers and closed angles were seen in both eyes. Despite treatment, her visual acuity decreased to no light perception bilaterally. Psychiatrists and ophthalmologists should be aware that antidepressants and antianxiety agents can precipitate angle closure glaucoma in susceptible eyes.
Dr. C. Kadoi, Department of Ophthalmology, Toyama Medical and Pharmaceutical University, Toyama, Japan
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)