Objective:
To document acute angle closure glaucoma temporally related to ingestion of oral imipramine hydrochloride.
Patients:
Four patients with narrow angles received routinely prescribed doses of imipramine that triggered acute angle closure glaucoma.
Outcome:
Laser iridotomy was successful in all patients.
Conclusions:
Psychoactive drugs should be prescribed cautiously in patients with known narrow angles and should be monitored by an ophthalmologist.