Acute closure-angle glaucoma after treatment with ipratropium bromide and salbutamol aerosols

We report a case of acute angle-closure glaucoma in a patient treated with bronchodilator nebulization. An 82-year-old man with chronic obstructive br onchopathy was treated for acute respiratory decompensation with salbutamol and ipratropium bromide aerosols. Twenty-four hours after beginning the tr eatment, the patient developed acute angle-closure glaucoma which resolved rapidly with appropriate treatment. The case emphasizes the importance of p recautionary measures (waterproof glasses and inhalation masks). In additio n patients with a high risk of angle-closure glaucoma should be detected pr ior to prescribing bronchodilating aerosols.