{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:03:37Z","timestamp":1773007417147,"version":"3.50.1"},"reference-count":17,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,8,16]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>A woman in her mid-60s who is a high hypermetrope presented with bilateral eye pain and headache approximately 1\u2009hour after taking a single dose of a widely available decongestant containing paracetamol, guaifenesin and phenylephrine hydrochloride for coryzal symptoms. She had previous successful bilateral peripheral iridotomies performed for narrow angles. At presentation, her intraocular pressures (IOPs) were significantly raised at 72\u2009mm Hg and 66\u2009mm Hg in the right and left eye, respectively, with bilateral corneal oedema. Her IOP was normalised with urgent treatment using 500\u2009mg intravenous acetazolamide, pilocarpine 2%, dexamethasone 0.1% and IOP-lowering drops. She was listed for cataract surgery and was advised to avoid the precipitating agent and other over-the-counter decongestants. This is the first reported case of bilateral angle closure triggered by a decongestant with such a combination of ingredients. Clinicians should be aware of this rare side effect for prompt diagnosis and management.<\/jats:p>","DOI":"10.1136\/bcr-2024-260950","type":"journal-article","created":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T12:08:22Z","timestamp":1725019702000},"page":"e260950","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Bilateral simultaneous acute angle closure glaucoma triggered by an over-the-counter cold and influenza medication"],"prefix":"10.1136","volume":"17","author":[{"given":"Chung Shen","family":"Chean","sequence":"first","affiliation":[{"name":"Ophthalmology, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9974-1491","authenticated-orcid":false,"given":"Ali Ibrahim Ali Hassan","family":"Ali","sequence":"additional","affiliation":[{"name":"Ophthalmology, University Hospitals of Leicester NHS Trust, 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