Acetazolamide-induced cilio-choroidal effusion after cataract surgery: unusual posterior involvement

cetazolamide-induced cilio-choroidal effusion after cataract surgery: unusual posterior involvement Case report (878) Total Article Views Authors: Malagola R, Arrico L, Giannotti R, Pattavina L Published Date January 2013 Volume 2013:7 Pages 33 - 36 DOI: http://dx.doi.org/10.2147/DDDT.S38324 Received: 19 September 2012 Accepted: 21 November 2012 Published: 23 January 2013 Romualdo Malagola, Loredana Arrico, Rossella Giannotti, Luigi Pattavina Department of Ophthalmology, University of Rome "La Sapienza," Rome, Italy Abstract: Idiosyncratic reactions to a large number of drugs have been reported to cause choroidal detachment and secondary angle-closure glaucoma (ACG). We report a case of bilateral acute ACG and peculiar choroidal effusion following administration of oral acetazolamide immediately after cataract surgery. Few cases of acute secondary ACG with choroidal effusion and anterior shift of the lens-iris diaphragm have been associated with acetazolamide compared with other sulfonamides. As far as we are aware, posterior involvement with retinal folds and papillary edema due to acetazolamide has not been described before.