Bilateral simultaneous acute angle closure glaucoma precipitated by non-presciption cold and flue medication

Adam Rudkin, T Gray, Mona Awadalla, Jamie Craig

    Research output: Contribution to journalArticle

    13 Citations (Scopus)

    Abstract

    We present a case of a 63-year-old woman who presented to an ED with bifrontal headache, nausea and vomiting and reduced visual acuity. Examination revealed bilateral elevated intraocular pressures, corneal haze, shallow anterior chambers and poorly reactive, mid-dilated pupils. Diagnosis was made of simultaneous bilateral acute angle closure glaucoma. A complete drug history revealed that she had been using an over-the-counter cold and flu remedy whose active ingredients included atropa belladonna, an herb with anticholinergic properties. It is likely that drug-induced dilatation of the individual's pupils precipitated this angle closure emergency. In the report we discuss the risk factors for angle closure glaucoma, and review the local and systemic drugs known to trigger this sight-threatening emergency.

    Original languageEnglish
    Pages (from-to)477-479
    Number of pages3
    JournalEmergency Medicine Australasia
    Volume22
    Issue number5
    DOIs
    Publication statusPublished - 2010

    Fingerprint Dive into the research topics of 'Bilateral simultaneous acute angle closure glaucoma precipitated by non-presciption cold and flue medication'. Together they form a unique fingerprint.

  • Cite this