De Saint Jean M, Bourcier T, Borderie V, Moldovan M, Touzeau O, Laroche L
Pôle Hospitalo-Universitaire d'Ophtalmologie Saint-Antoine - Quinze-Vingts, Paris.
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.
我们报告了一例接受支气管扩张剂雾化治疗的患者发生急性闭角型青光眼的病例。一名患有慢性阻塞性肺病的82岁男性因急性呼吸代偿失调接受了沙丁胺醇和异丙托溴铵气雾剂治疗。治疗开始24小时后，该患者发生急性闭角型青光眼，经适当治疗后迅速缓解。该病例强调了预防措施（防水眼镜和吸入面罩）的重要性。此外，在开具支气管扩张气雾剂之前，应检测出具有急性闭角型青光眼高风险的患者。
