Iatrogenic Glaucoma Secondary to Medications - 19/08/11

Abstract |
Glaucoma is a progressive optic neuropathy with primary and secondary forms. Iatrogenic glaucoma secondary to medications is potentially blinding but preventable. Most drug profiles listing glaucoma as a contraindication or an adverse effect are concerned with inducing acute angle-closure glaucoma. Anticholinergic or adrenergic agents are the most common for inducing “pupillary block” angle-closure glaucoma. Patients with a narrow irido-corneal angle are at high risk. Sulfa drugs induce “non-pupillary block” angle-closure glaucoma as an idiosyncratic reaction to the drug in patients with an open or narrow irido-corneal angle. Steroids and a few antineoplastic agents induce open-angle glaucoma. The risk is higher with topical rather than systemic steroids. The first step in the management is discontinuation of the drug, followed by medical, laser, and, if necessary, surgical intervention.
Le texte complet de cet article est disponible en PDF.Keywords : Acute angle-closure glaucoma, Adrenergic drugs, Anticholinergic agents, Central nervous system drugs, Iatrogenic glaucoma, Steroid-induced glaucoma
Plan
| Funding: None. |
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| Conflict of Interest: None of the authors have any conflicts of interest associated with the work presented in this manuscript. |
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| Authorship: All authors had access to the data and played a role in writing this manuscript. |
Vol 124 - N° 1
P. 20-25 - janvier 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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