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CASE REPORT
Year : 2021  |  Volume : 3  |  Issue : 1  |  Page : 16

Acute angle closure glaucoma in a patient admitted at the intensive care unit for the management of COVID-19


Department of Ophthalmology, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Tecnológico de Monterrey, Monterrey, México

Correspondence Address:
Dr. Patricio J Rodriguez-Valdes
Instituto de Oftalmologia y Ciencias Visuales Centro Medico Zambrano Hellion, Av. Batallon de San Patricio No. 112, Col. Real de San Agustin, N.L, CP 66278
México
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/pajo.pajo_90_21

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Drug-induced acute angle closure glaucoma (AACG) is a blinding condition that requires urgent management. Unfavorable conditions encountered at the intensive care unit (ICU) represent an increased risk of developing AACG. A 60-year-old female complained of photophobia, pain, and vision loss in her right eye while hospitalized in the ICU for COVID-19 management. Symptoms developed after the use of nebulized ipratropium bromide and salbutamol, prone positioning, and darkroom conditions. The patient was discharged 3 weeks after and diagnosed with AACG the next day. Despite management with hypotensive eye drops and cataract surgery, the patient developed bilateral glaucomatous damage and vision loss in her right eye.


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