• Acta Ophthalmol Scand · Dec 1997

    Case Reports

    Acute glaucoma and acute corneal oedema in association with tularemia.

    • O Pärssinen and M Rummukainen.
    • Department of Ophthalmology, Central Hospital of Central Finland.
    • Acta Ophthalmol Scand. 1997 Dec 1;75(6):732-4.

    PurposeTo describe the clinical course of oculoglandular tularemia with acute glaucoma and corneal oedema.MethodsClinical course, results of laboratory assays and treatment of oculoglandular tularemia in a 58-year-old woman.ResultsThe patient had acute glaucoma and corneal oedema in connection with acute tularemia. At the onset of the disease she had a fever (39 degrees C), pains in her muscles and in her right eye. The intraocular pressure, which was 68 mmHg at the beginning was lowered with intravenous and per oral acetatcolamide together with timolol and pilocarpine eyedrops, and because of a narrow anterior chamber, with subsequent laser iridotomies. The tularemia was treated with ciprofloxacin 500 mg twice daily for ten days. Vision was finger counting at the beginning of the disease. The corneal oedema gradually subsided and vision normalized during the two-month follow-up.ConclusionOculoglandular tularemia was connected with acute glaucoma and corneal oedema.

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