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...

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Main Authors: Anis Mahmoud, Fatma Abid, Imen Ksiaa, Sourour Zina, Riadh Messaoud, Moncef Khairallah
Format: Article
Language:English
Published: BMC 2018-02-01
Series:BMC Ophthalmology
Online Access:http://link.springer.com/article/10.1186/s12886-018-0715-4
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author Anis Mahmoud
Fatma Abid
Imen Ksiaa
Sourour Zina
Riadh Messaoud
Moncef Khairallah
author_facet Anis Mahmoud
Fatma Abid
Imen Ksiaa
Sourour Zina
Riadh Messaoud
Moncef Khairallah
author_sort Anis Mahmoud
collection DOAJ
description 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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spelling doaj.art-d7db938c03a94b4b8dd601a593bee8402022-12-21T18:55:21ZengBMCBMC Ophthalmology1471-24152018-02-011811310.1186/s12886-018-0715-4Bilateral acute angle-closure glaucoma following tramadol subcutaneous administrationAnis Mahmoud0Fatma Abid1Imen Ksiaa2Sourour Zina3Riadh Messaoud4Moncef Khairallah5Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia; Faculty of Medicine, University of MonastirDepartment of Ophthalmology, Tahar Sfar University Hospital, Mahdia; Faculty of Medicine, University of MonastirDepartment of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of MonastirDepartment of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of MonastirDepartment of Ophthalmology, Tahar Sfar University Hospital, Mahdia; Faculty of Medicine, University of MonastirDepartment of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of MonastirAbstract 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 OCThttp://link.springer.com/article/10.1186/s12886-018-0715-4
spellingShingle Anis Mahmoud
Fatma Abid
Imen Ksiaa
Sourour Zina
Riadh Messaoud
Moncef Khairallah
Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration
BMC Ophthalmology
title Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration
title_full Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration
title_fullStr Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration
title_full_unstemmed Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration
title_short Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration
title_sort bilateral acute angle closure glaucoma following tramadol subcutaneous administration
url http://link.springer.com/article/10.1186/s12886-018-0715-4
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