Description
Pharmacological dilatation of pupils is known to precipitate acute angle closure glaucoma in individuals with shallow anterior chambers and narrow occludable anterior chamber angles. However acute angle closure glaucoma following accidental instillation into the eye of an anticholinergic nebuliser solution used for chronic obstructive pulmonary disease is extremely rare. In this case report, angle closure glaucoma appeared to be precipitated when the patient squirted the neat solution of ipratropium bromide, an anticholinergic agent, into her eye.

