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Updated: Dec 11, 2025
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Iris Fixation via External Pentagram Suturing
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[Acute angle-closure glaucoma and effusion syndrome after phacoemulsification]
M Anwar1, T Brockmann2, M Walckling2
1Klinik und Poliklinik für Augenheilkunde, Universitätsmedizin Rostock, Doberaner Str. 140, 18057, Rostock, Deutschland. mahmoud.anwar@med.uni-rostock.de.
Summary
Acetazolamide can cause rare but severe uveal effusion syndrome after cataract surgery. Prompt sulfonamide-free treatment led to rapid ocular improvement in a glaucoma patient.
Area of Science:
- Ophthalmology
- Pharmacology
Background:
- Cataract surgery is a common procedure with potential complications.
- Glaucoma and uveal effusion syndrome are serious ocular conditions.
Observation:
- A 72-year-old female developed bilateral secondary angle-closure glaucoma with uveal effusion syndrome post-cataract surgery.
- Acetazolamide, a sulfonamide medication, was identified as the likely cause.
Findings:
- The patient experienced a rare adverse effect of acetazolamide.
- Sulfonamide-free systemic and local treatments for intraocular pressure and inflammation were initiated.
Implications:
- This case highlights a severe, albeit uncommon, side effect of acetazolamide.
- Effective management involves prompt cessation of the causative agent and appropriate anti-glaucoma and anti-inflammatory therapies.
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