A patient with known narrow-angle glaucoma uses nebulised ipratropium through a poorly fitting mask and immediately develops a painful red eye,

Question

A patient with known narrow-angle glaucoma uses nebulised ipratropium through a poorly fitting mask and immediately develops a painful red eye, blurred vision and coloured haloes. What should the pharmacist advise?

Accepted Answer

Stop ocular exposure and obtain immediate specialist assessment for possible acute angle-closure glaucoma

Answer

Instil an over-the-counter antihistamine drop and repeat ipratropium through the same mask

Answer

Cover the affected eye and wait 24 hours before seeking advice

Answer

Replace ipratropium with another antimuscarinic nebuliser and continue treatment immediately

Answer

Continue the nebuliser and review routinely because antimuscarinic eye effects are self-limiting

Ipratropium glaucoma caution — GPhC CRA MCQ

A patient with known narrow-angle glaucoma uses nebulised ipratropium through a poorly fitting mask and immediately develops a painful red eye, blurred vision and coloured haloes. What should the pharmacist advise?