{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T13:09:06Z","timestamp":1784034546224,"version":"3.55.0"},"reference-count":6,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2025,11,3]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>Attacks of bilateral simultaneous acute angle closure glaucoma are rare. A 59-year-old man developed vertigo and vomiting, with nystagmus in primary gaze, left-beating nystagmus in left gaze and a positive head impulse test. He was diagnosed with acute vestibular neuritis and received standard therapy, using four drugs that have anticholinergic effects. He subsequently developed bilaterally red eyes, initially diagnosed as bacterial conjunctivitis, and then blurred vision with ocular pain. An ophthalmological assessment identified mid-dilated, non-reactive pupils with corneal oedema and markedly elevated intraocular pressures, consistent with bilateral acute angle closure glaucoma. This was treated with topical and oral ocular hypotensive therapy, pupillary constriction and corneal indentation. Following peripheral iridotomies with the Yttrium Aluminum Garnet laser, his acute angle closure glaucoma rapidly and totally resolved. The use of multiple medications with anticholinergic effects in people with acute vestibular neuritis, and especially in those with a shallow anterior chamber, may cause acute angle closure glaucoma, requiring urgent ophthalmological assessment.<\/jats:p>","DOI":"10.1136\/pn-2025-004660","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T10:45:22Z","timestamp":1766486722000},"page":"379-381","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral simultaneous acute angle closure glaucoma following anticholinergic therapy for vestibular neuritis"],"prefix":"10.1136","volume":"26","author":[{"given":"Hannah","family":"Kamgarpour","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Notre Dame Australia, Sydney. Australia, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lloyd R","family":"Kopecny","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, Sydney. Australia, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ru Min","family":"Ong","sequence":"additional","affiliation":[{"name":"University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily J","family":"O\u2019Keefe","sequence":"additional","affiliation":[{"name":"Department of Neurology, Gosford Hospital, Gosford. Australia, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Agar","sequence":"additional","affiliation":[{"name":"University of New South Wales, Sydney, New South Wales, Australia"},{"name":"Department of Ophthalmology, Prince of Wales Hospital, Sydney. Australia, Randwick, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minas T","family":"Coroneo","sequence":"additional","affiliation":[{"name":"University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kriti","family":"Agnihotri","sequence":"additional","affiliation":[{"name":"Department of Neurology, Gosford Hospital, Gosford. Australia, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian C","family":"Francis","sequence":"additional","affiliation":[{"name":"University of New South Wales, Sydney, New South Wales, Australia"},{"name":"Prince of Wales Hospital and Community Health Services, Randwick, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"2026071405250883000_26.4.379.1","doi-asserted-by":"crossref","first-page":"104","DOI":"10.5005\/jp-journals-10078-1261","article-title":"Drug-induced Acute Angle-closure Glaucoma: A Review","volume":"13","author":"Yang","year":"2019","journal-title":"J Curr Glaucoma Pract"},{"key":"2026071405250883000_26.4.379.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2008.08.032"},{"key":"2026071405250883000_26.4.379.3","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/j.survophthal.2019.03.001","article-title":"Corneal indentation works, almost universally, and especially when applied as per the corneal indentation protocol","volume":"64","author":"Lau","year":"2019","journal-title":"Surv Ophthalmol"},{"key":"2026071405250883000_26.4.379.4","first-page":"771","article-title":"Acute Closed-Angle Glaucoma-an Ophthalmological Emergency","volume":"118","author":"N\u00fcssle","year":"2021","journal-title":"Dtsch Arztebl Int"},{"key":"2026071405250883000_26.4.379.5","first-page":"178","article-title":"Iatrogenic acute angle closure glaucoma masked by general anaesthesia and intensive care","volume":"64","author":"Lotery","year":"1995","journal-title":"Ulster Med J"},{"key":"2026071405250883000_26.4.379.6","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2005.081224"}],"container-title":["Practical Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/pn-2025-004660","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:25:24Z","timestamp":1784031924000},"score":1,"resource":{"primary":{"URL":"https:\/\/pn.bmj.com\/lookup\/doi\/10.1136\/pn-2025-004660"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,23]]},"references-count":6,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,7,14]]},"published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1136\/pn-2025-004660"],"URL":"https:\/\/doi.org\/10.1136\/pn-2025-004660","relation":{},"ISSN":["1474-7758","1474-7766"],"issn-type":[{"value":"1474-7758","type":"print"},{"value":"1474-7766","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,23]]}}}