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Thursday 01 June 2000

[Acute closure-angle glaucoma after treatment with ipratropium bromide and salbutamol aerosols]

By: De Saint Jean M, Bourcier T, Borderie V, Moldovan M, Touzeau O, Laroche L.

J Fr Ophtalmol 2000 Jun;23(6):603-5

We report a case of acute angle-closure glaucoma in a patient treated with bronchodilator nebulization. An 82-year-old man with chronic obstructive bronchopathy was treated for acute respiratory decompensation with salbutamol and ipratropium bromide aerosols. Twenty-four hours after beginning the treatment, the patient developed acute angle-closure glaucoma which resolved rapidly with appropriate treatment. The case emphasizes the importance of precautionary measures (waterproof glasses and inhalation masks). In addition patients with a high risk of angle-closure glaucoma should be detected prior to prescribing bronchodilating aerosols.

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