Bilateral Acute Angle-closure after Intraocular Surgery

J Curr Glaucoma Pract. 2014 Sep-Dec;8(3):113-4. doi: 10.5005/jp-journals-10008-1173. Epub 2015 Jan 15.

Abstract

We report the case of a 75-year-old woman who developed an acute bilateral angle-closure associated with choroidal effusion a day after an uneventful cataract surgery. The same patient had undergone a similarly uneventful cataract surgery two weeks before, under the same protocol, with no postoperative complication in the other eye. Medical treatment, including the use of oral sulfamide-related drugs (acetazolamide), topical beta-blockers and steroids led to a gradual decrease in intraocular pressure (IOP) and choroidal effusion. Despite initial reports suggesting a link between sulfamide-exposure and these rare forms of angle-closure, our report would suggest a more complex pathophysiology behind this intriguing phenomenon. How to cite this article: Hoskens K, Pinto LA, Vandewalle E, Verdonk N, Stalmans I. Bilateral Acute Angle-closure after Intraocular Surgery. J Curr Glaucoma Pract 2014;8(3):113-114.

Keywords: Acetazolamide; Acute secondary angle-closure.; Choroidal effusion; Surgery complication.

Publication types

  • Case Reports