Delhi Journal of Ophthalmology

Bronchodilator Nebulization – A Rare Presentation of Bilateral Acute Angle Closure Glaucoma

Divya Deepthi Syamala, Malleswari Medikonda
Sankara Eye Hospital, Vijayawada – Guntur Expressway, Pedakakani, Guntur, Andhra Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.

Corresponding Author:

Divya Deepthi Syamala 
M.B.B.S, M.S(Ophth)
Department: Anterior Segment and Glaucoma Institution: Sankara Eye 
Hospital, Guntur, Andhra Pradesh, India

Received: 14-MAR-2020 Accepted: 17-MAY-2020 Published Online: 20-DEC-2020

Bronchodilator nebulization is one of the most commonly administered treatment for an acute attack of reactive airway disease. Development of acute angle closure glaucoma following nebulization therapy is a rare occurrence. We report a case of acute angle closure of both eyes in a 54 year old gentleman shortly after receiving therapy with inhaled salbutamol and ipratropium. This patient presented to our tertiary care eye hospital and was immediately treated with medical management and laser iridotomy. This case report highlights this rare but possible side effect of inhaled bronchodilator therapy. Health care providers need to be aware of this uncommon adverse effect and appropriate preventive measures such as identifying at risk individuals, usage of protective eye-wear, etc should be practiced. 

Keywords :Acute Angle Closure, Salbutamol, Ipratropium, Glaucoma