Angle-closure glaucoma

These drugp are contraindicated in those with a hypersensitivity to the anticholinergic dragp, those with glaucoma (angle-closure), pyloric or duodenal obstruction, peptic ulcers, prostatic hypertrophy, achalasia (failure of... 

Anticholinergic effects Use with caution in patients with a history of urinary retention, urethral or ureteral spasm narrow-angle glaucoma, angle-closure glaucoma, or increased intraocular pressure. 

Sensory systems - Eye Nefopam is a non-opioid analgesic whose action is spinal and supraspinal, including inhibition of dopamine, noradrenaline, and serotonin reuptake. A dose of 20mg has an analgesic action comparable with morphine 6 mg. Acute glaucoma angle closure is a rare complication of anaesthesia and multimodal analgesia. However, a case of unilateral permanent loss of vision after nefopam administration was reported. 

Acetazolamide (Diamox) is used in the treatment of simple (open-angle) glaucoma, secondary glaucoma, and preoiteratively in acute angle-closure glaucoma when delay of surgery is desired to lower the IOP These dru ... 

The carbonic anhydrase inhibitors are contraindicated in patients with known hypersensitivity to the dru , electrolyte imbalances, severe kidney or liver dysfunction, or anuria, and for long-term use in chronic non-congestive angle-closure glaucoma (may mask worsening glaucoma). 

Identify risk factors for the development of chronic open-angle glaucoma and acute angle-closure glaucoma. 

Acute primary angle-closure glaucoma is a medical emergency and requires laser or surgical intervention. 

Patients with ocular hypertension or primary open-angle glaucoma typically have a slow, insidious loss of vision. This is contrasted by the course of acute primary angle-closure glaucoma which can lead to rapid vision loss that develops over hours to days. 

PACG primary angle-closure glaucoma POAG primary open-angle glaucoma... 

American Academy of Ophthalmology Glaucoma Panel. Primary Angle Closure. San Francisco American Academy of Ophthalmology, 2005. 

Salmon JF, Sharma T. Chronic angle-closure glaucoma. Ophthalmology 2005 112 1844. 

Foreign body in eye Acute angle-closure glaucoma... 

Anti muscarinics Hyperthermia due to blockage of sweating mechanisms, decreased salivation and lacrimation, acute-angle-closure glaucoma in the elderly, urinary retention, constipation, blurred vision, delirium, and hallucinations... 

Topiramate is recently approved by the FDA for migraine prophylaxis. Dose is initiated at 25 mg/day and increased slowly to minimize side effects, which may include paresthesias, fatigue, anorexia, diarrhea, weight loss, difficulty with memory, and nausea. Kidney stones, acute myopia, acute angle-closure glaucoma, and oligohidrosis have been infrequently reported. 

Other conditions in which ephedra is contraindicated are anxiety disorders, angle-closure glaucoma, prostate adenoma with residual urine volume, pheochromocytoma, and thyrotoxicosis (Gruenwald et al. 1998). Known medications that may interact adversely with ephedrine include heart glycosides, halothane, guanethidine, MAO inhibitors, secale alkaloids, and oxytocin. 

Q87 The use of Buscopan tablets is contraindicated in angle-closure glaucoma. Buscopan is a quaternary ammonium compound. 

Buscopan is a branded preparation containing hyoscine butylbromide, an antimuscarinic agent that reduces gastrointestinal motility. Antimuscarinic agents are contraindicated in cases of angle-closure glaucoma as they may aggrevate the condition. Hyoscine butylbromide is a quaternary ammonium compound, unlike atropine, which is a tertiary ammonium compound. 

Mirtazapine is indicated for major depression. Its side-effects include sedation and, less commonly, dizziness, abnormal dreams (rarely) and, very rarely, angle-closure glaucoma. 

Hypersensitivity to these agents depressed sodium or potassium serum levels marked kidney and liver disease or dysfunction suprarenal gland failure hyperchloremic acidosis adrenocortical insufficiency severe pulmonary obstruction with inability to increase alveolar ventilation since acidosis may be increased (dichlorphenamide) cirrhosis (acetazolamide, methazolamide) long-term use in chronic noncongestive angle-closure glaucoma. 

First-generation antihistamines Flypersensitivity to specific or structurally related antihistamines newborns or premature infants nursing mothers monoamine oxidase (MAO) therapy pregnancy (hydroxyzine) angle-closure glaucoma, stenosing peptic ulcer, symptomatic prostatic hypertrophy, bladder neck obstruction, pyloroduodenal obstruction, elderly, debilitated patients (cyproheptadine). 

Hypersensitivity to scopolamine, other belladonna alkaloids, or any component of the product angle-closure (narrow-angle) glaucoma. 

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