Secondary acute angle closure glaucoma: A complication of aids

A 58-year-old man with advanced AIDS presented to the emergency department complaining of headache and decreased vision bilaterally. On evaluation, he was found to have intraocular pressures of 69 and 65 mm Hg. After topical treatment with miotics and apraclonidine, he was given intravenous acetazol...

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Bibliographic Details
Published in:The Journal of emergency medicine 1997-11, Vol.15 (6), p.811-814
Main Authors: Pimentel, Laura, Booth, Donna, Greenwood, Jeff, Browne, Brian J.
Format: Article
Language:English
Subjects:
Acetazolamide - therapeutic use
Acquired Immunodeficiency Syndrome - complications
acute blindness
Acute Disease
AIDS
AIDS/HIV
Biological and medical sciences
Emergency Medical Services
glaucoma
Glaucoma, Angle-Closure - etiology
Glaucoma, Angle-Closure - therapy
Human viral diseases
Humans
Infectious diseases
Iris - surgery
Laser Therapy
Male
Medical sciences
Middle Aged
Miotics - therapeutic use
ocular complications
Pilocarpine - therapeutic use
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Description
Summary:A 58-year-old man with advanced AIDS presented to the emergency department complaining of headache and decreased vision bilaterally. On evaluation, he was found to have intraocular pressures of 69 and 65 mm Hg. After topical treatment with miotics and apraclonidine, he was given intravenous acetazolamide (Diamox) and peripheral iridotomy was performed. The pressures did not improve significantly. Secondary acute angle closure glaucoma was diagnosed. Emergency physicians should consider this diagnosis when evaluating AIDS patients with visual complaints.
ISSN:0736-4679
2352-5029
DOI:10.1016/S0736-4679(97)00188-1