DR. SHARAT HEGDE

DR.DR. JACOB CHACKO

Abstract

A 65 -year-old female had routine cataract surgery and intraocular lens implantation under local anesthetic in her right eye (RE) in the late afternoon. She was prescribed a single oral dose of acetazolamide (250 mg) before sleeping to prevent rise of IOP. About 3 hours later, she woke up because of severe pain and found he had reduced vision in both eyes. Upon examination, the patient’s visual acuity was CF1/2 mt in the RE and 6/60 in left eye. Both eyes showed congestion of the conjunctiva, corneal edema, and a very shallow anterior chamber. The intraocular lens was shifted forward. IOP was 52 mmHg in the RE and 32 mmHg in the LE. . A diagnosis of ACG was made in emergency duty doctor and the patient was admitted to the hospital. Fundus examination was characterized by bilateral peripheral choroidal detachment . Acetazolamide was suspected as the cause of the bilateral angle closure and ciliochoroidal detachment, thus was discontinued.