Can you give lorazepam to a patient with acute angle closure glaucoma?

Can you give lorazepam to a patient with acute angle closure glaucoma?

The manufacturers consider the use of benzodiazepines to be contraindicated in patients with acute angle-closure glaucoma or untreated open-angle glaucoma. These agents do not possess anticholinergic activity but have very rarely been associated with increased intraocular pressure.

Can you take lorazepam with glaucoma?

You should not take lorazepam if you have: narrow-angle glaucoma; or. a history of allergic reaction to any benzodiazepine (diazepam, alprazolam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Valium, Versed, Xanax, and others).

What medications should I avoid with closed-angle glaucoma?

Closed-Angle Glaucoma: Medicines to Avoid

• Antihistamines and decongestants.
• Asthma medicines.
• Motion sickness medicines.
• Some medicines used to treat depression (tricyclic antidepressants)

What drugs are used to treat closed-angle glaucoma?

Treating closed-angle glaucoma

• acetazolamide, which reduces the fluid in your eye.
• beta blockers, which lower the amount of fluid your eye produces.
• steroids, which reduce inflammation.
• painkillers (as a comfort measure)
• drugs to treat nausea and vomiting.
• pilocarpine, which opens the angle between your iris and cornea.

Can you go blind with closed-angle glaucoma?

Fortunately for most patients the answer is no. Blindness does occur from glaucoma but it is a relatively rare occurrence. There are around 120,000 cases of blindness in the United States and 2.3 million cases of glaucoma. This represents about 5% of glaucoma patients.

Is there a connection between aphakic glaucoma and pseudophakic?

Pseudophakic glaucoma refers to the glaucoma following implantation of the lens with cataract surgery. Aphakia or pseudophakia themselves are not the direct causative conditions in the aphakic or pseudophakic patient presenting with glaucoma. There are multiple mechanisms that could be working alone or in synergy,…

When does pseudophakic pupillary block glaucoma appear?

Pseudophakic pupillary block glaucoma can be seen with anterior chamber, iris supported and posterior chamber lenses. Anterior chamber lenses and iris supported lenses require peripheral iridectomy to prevent pupillary block glaucoma. Generally, glaucoma appears soon after the surgery, but can also occur in a matter of months or years.

What kind of surgery is needed for aphakic glaucoma?

Some cases resolve on their own, others require a surgical procedure such as iridotomy or anterior vitrectomy and laser vitreolysis . Pupillary block does not commonly present in aphakic patients. Rarely, it occurs if there is no surgical iridectomy following congenital cataract removal.

What are the risk factors for angle closure glaucoma?

The following factors increase risk for developing medication-induced angle closure: 1 advanced age. 2 female gender. 3 hyperopia (farsightedness). 4 Asian ethnicity. 5 positive family history of angle-closure glaucoma. 6 (more items)