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Br J Ophthalmol 1997;81:252 doi:10.1136/bjo.81.3.252
  • Letter to the Editor

Bilateral acute angle closure glaucoma after administration of paroxetine

  1. JAMES F KIRWAN,
  2. IAN SUBAK-SHARPE,
  3. M TEIMORY
  1. Department of Ophthalmology, St George’s Hospital,
  2. Blackshaw Road, London SW17 0QT
  1. J F Kirwan.
  • Accepted 14 November 1996

Editor,—Paroxetine, a selective serotonin re-uptake inhibitor is said to have a reduced incidence of cholinergic side effects compared with older agents. We describe a case of a patient presenting with bilateral angle closure after commencement of therapy with paroxetine.

CASE REPORT

A 91-year-old woman was examined in the accident and emergency department. She had woken that morning with painful eyes, blurred vision, and a dry mouth. During the day, the eye pain had worsened, and she was experiencing nausea. She was noted by the casualty officer to have red eyes and fixed pupils, and she …

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