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Acute bilateral angle-closure glaucoma and choroidal effusion associated with acetazolamide administration after
Raffaele Mancino1, Chiara Varesi, Angelica Cerulli
1Ophthalmology Unit, Tor Vergata University of Rome, Rome, Italy. nucci@med.uniroma2.it
Abstract:
We present an interventional case report of a 76-year-old man who developed bilateral angle-closure glaucoma with extensive choroidal detachment following administration of oral acetazolamide immediately after routine cataract extraction and intraocular lens implantation. Rapid clinical improvement occurred after acetazolamide was stopped and high-dose intravenous steroid therapy was given. Although extremely rare, this adverse effect should be considered in patients who develop acute bilateral angle-closure glaucoma and choroidal effusion after cataract surgery.
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