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Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration

Article scientifique 2018 Anglais

Résumé

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.

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Mahmoud, A., Abid, F., Ksiaa, I., Zina, S., Messaoud, R., Khairallah, M. (2018). Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration. https://doi.org/10.1186/s12886-018-0715-4

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Auteur(s)

Anis Mahmoud Fatma Ben Abid Imen Ksiaa Sourour Zina R. Messaoud Moncef Khairallah

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