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Acute bilateral angle closure glaucoma induced by methazolamide

Ahmad A Aref, Fouad E Sayyad, Bernadete Ayres, Richard K Lee
Clinical Ophthalmology 2013, 7: 279-82

PURPOSE: To report a case of bilateral acute myopia and angle closure glaucoma after ingestion of methazolamide.

METHODS: An interventional case report of a 70-year-old male who developed bilateral, acute myopia and angle closure glaucoma after ingesting methazolamide tablets for the treatment of normal tension glaucoma.

RESULTS: Bilateral anterior chamber shallowing associated with ciliary body edema, supraciliary effusions, and shallow posterior choroidal effusions were documented with slit-lamp photography and high-frequency ultrasonography. Near complete resolution of these signs after discontinuation of methazolamide were also documented.

CONCLUSION: Methazolamide may be associated with secondary myopia and angle closure glaucoma. Discontinuation of methazolamide leads to resolution of this process, as documented by slit-lamp photography and high-frequency ultrasonography.


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