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Angle closure glaucoma complicating systemic atropine use in the cardiac catheterization laboratory
J S Mandak1, P Minerva, T W Wilson
1Department of Cardiology, Geisinger Medical Center, Danville, PA 17822-1343, USA.
Catheterization and Cardiovascular Diagnosis
|November 1, 1996
Summary
Atropine can trigger acute angle closure glaucoma in susceptible individuals. Prompt diagnosis is crucial, as misdiagnosis as conjunctivitis can lead to irreversible vision loss.
Area of Science:
- Ophthalmology
- Cardiology
Background:
- Atropine is commonly used in medical procedures.
- Angle closure glaucoma is a serious ocular condition.
Observation:
- A 66-year-old man developed acute angle closure glaucoma post-coronary angioplasty.
- The patient received atropine during the procedure.
Findings:
- Atropine administration can precipitate angle closure glaucoma in predisposed patients.
- Misdiagnosis of acute glaucoma as conjunctivitis is a frequent issue, delaying treatment.
Implications:
- Clinicians must recognize the risk of atropine-induced angle closure glaucoma.
- Awareness of predisposing factors, signs, and symptoms is vital for timely diagnosis and treatment to prevent vision loss.