Ophthalmology Unit, Tor Vergata University of Rome, Rome, Italy.
J Cataract Refract Surg. 2011 Feb;37(2):415-7. doi: 10.1016/j.jcrs.2010.12.032.
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.
我们报告了 1 例 76 岁男性病例,该患者在常规白内障摘除术和人工晶状体植入术后立即口服乙酰唑胺后出现双侧闭角型青光眼和广泛脉络膜脱离。停止乙酰唑胺并给予大剂量静脉类固醇治疗后,临床迅速改善。尽管极为罕见,但对于白内障手术后发生急性双侧闭角型青光眼和脉络膜积液的患者,应考虑这种不良反应。