Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration
Abstract Background To report a case of bilateral acute angle closure-glaucoma following the use of subcutaneous Tramadol. Case presentation A 42-year-old healthy man with unremarkable past medical and ocular history, was admitted to the Orthopedic Department for surgical treatment of a bilateral op...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-02-01
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| Series: | BMC Ophthalmology |
| Online Access: | http://link.springer.com/article/10.1186/s12886-018-0715-4 |
| Summary: | Abstract Background To report a case of bilateral acute angle closure-glaucoma following the use of subcutaneous Tramadol. Case presentation A 42-year-old healthy man with unremarkable past medical and ocular history, was admitted to the Orthopedic Department for surgical treatment of a bilateral open fracture of the femur following a road accident. Three hoursafterTramadolsubcutaneous injection, the patient complained of a bilateral acute painful visual loss with persistent vomiting. An ocular examination showed bilateral acute angle-closure-glaucoma. The patient was treated with topical anti-glaucoma therapy and intravenous Mannitol 20%.After resolution of ocular hypertension attack, NdYag laser peripheral iridotomy was performed on both eyes. After a follow-up period of 7 days visual acuity improved to 20/20 in both eyes and intraocular pressure returned to normal levels. Conclusions This case highlights the risk of developing bilateral acute angle-closure glaucoma after Tramadol administration. Keywords Angle closure glaucomaMydriasisTramadolAnterior segment OCT |
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| ISSN: | 1471-2415 |