Angle closure in fellow eye with prophylactic pilocarpine treatment
- Bristol Eye Hospital, Lower Maudlin Street, Bristol BS1 2LX, UK
- Mr Mohamed qureshm{at}yahoo.com Accepted for publication 5 November 2000
Editor,—Prophylactic pilocarpine is often used in patients presenting with unilateral primary acute angle closure until definitive treatment with laser peripheral iridotomy can be performed.1
We present two cases of unilateral primary acute angle closure glaucoma treated with prophylactic pilocarpine that subsequently developed angle closure in the fellow eye within 24 hours of admission.
CASE REPORTS
Case 1
An 81 year old woman was referred from the orthopaedics department with increasing pain and redness in the right eye. Visual acuities were hand movements on the right and 6/24 improving to 6/9 with pinhole on the left. The right cornea was oedematous with intraocular pressures (IOP) of 56 mm Hg in the right and 17 mm Hg in the left. The iridocorneal angle was closed on the …
