Abstract

FERNANDEZ-BARRIENTOS, Y. et al. Acute angle-closure glaucoma resulting from treatment with nebulised bronchodilators. Arch Soc Esp Oftalmol [online]. 2006, vol.81, n.11, pp.657-659. ISSN 0365-6691.

Case report: A 78-year-old woman, with an acute exacerbation of chronic obstructive airways disease, was treated with nebulised ipratropium bromide and salbutamol. Twenty hours after beginning this treatment, she developed acute angle-closure glaucoma (AACG) in her left eye which resolved rapidly with appropriate treatment. Discussion: Nebulised ipratropium bromide and salbutamol increases the intraocular pressure and may cause an AACG in susceptible patients (those with a shallow anterior chamber, hypermetropia, or chronic angle-closure glaucoma). Increased vigilance in such patients treated with these bronchodilators may avoid this adverse effect. Ensuring the mask is correctly fitted, using a T-piece or unvented nebuliser and protective eye wear, are some of the many recommendations made to minimize the development of AACG in these patients.

Keywords : Acute glaucoma; angle-closure glaucoma; acute respiratory disease; ipratropium bromide; salbutamol.

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