Guven Yilmaz Suzan, Palamar Melis, Gurgun Cemil
Department of Ophthalmology, Ege University, Izmir, Turkey.
Department of Cardiology, Ege University School of Medicine, Izmir, Bornova, Turkey.
BMJ Case Rep. 2016 May 11;2016:bcr2016214829. doi: 10.1136/bcr-2016-214829.
An increase in intraocular pressure following cataract surgery is very common. The main reason for this condition is viscoelastic agent remaining in the eye, which leads to mechanical obstruction of the trabecular meshwork. Prophylaxis with oral acetazolamide is frequently practised to prevent this early rise in intraocular pressure in the preoperative and postoperative periods. We report a case of an 81-year-old man with acute pulmonary oedema due to prophylactic acetazolamide intake after cataract surgery. The case is presented in order to draw attention to this serious complication.
白内障手术后眼压升高非常常见。这种情况的主要原因是眼内残留粘弹性剂，导致小梁网机械性阻塞。术前和术后经常口服乙酰唑胺进行预防，以防止眼压早期升高。我们报告一例81岁男性患者，在白内障手术后因预防性服用乙酰唑胺而发生急性肺水肿。报告该病例是为了引起对这种严重并发症的关注。
