Angle-closure glaucoma on long-haul flights

2.50
Hdl Handle:
http://hdl.handle.net/11287/593807
Title:
Angle-closure glaucoma on long-haul flights
Authors:
Turnbull, A. M.; Smith, Michael; Ramchandani, M.
Abstract:
IMPORTANCE: Unlike other modes of long-distance travel, long-haul flights delay urgent, specialist medical treatment until the destination is reached or the plane is diverted. Angle-closure glaucoma (ACG) occurring during those flights results in considerable morbidity and may cause permanent visual loss. It is preventable in patients with risk factors but may be an underrecognized and underreported phenomenon on long-haul flights. OBSERVATION: We report a case series of 3 patients with ACG that developed on long-haul flights. The patients presented to 2 ophthalmic institutions for treatment in the south of England between 2010 and 2012. All patients were female and hypermetropic, and all experienced considerable morbidity while awaiting medical treatment that was not available in flight. CONCLUSION AND RELEVANCE: Individuals with risk factors should be advised on the symptoms of ACG and the appropriate course of action should those symptoms occur. Prophylactic therapy with pilocarpine, 2%, eyedrops may be useful for individuals with risk factors who are embarking on long-haul flights. Airline personnel should be aware of ACG and encouraged to consider the value of training cabin crews to provide appropriate first-aid measures.
Citation:
JAMA Ophthalmol. 2014 Dec;132(12):1474-5.
Publisher:
JAMA
Journal:
JAMA ophthalmology
Issue Date:
1-Dec-2014
URI:
http://hdl.handle.net/11287/593807
DOI:
10.1001/jamaophthalmol.2014.3501
PubMed ID:
25255902
Additional Links:
http://archopht.jamanetwork.com/article.aspx?doi=10.1001/jamaophthalmol.2014.3501
Type:
Case Report
Language:
eng
ISSN:
2168-6173
Appears in Collections:
Ophthalmology (West of England Eye Unit); 2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorTurnbull, A. M.en
dc.contributor.authorSmith, Michaelen
dc.contributor.authorRamchandani, M.en
dc.date.accessioned2016-01-19T12:35:09Zen
dc.date.available2016-01-19T12:35:09Zen
dc.date.issued2014-12-01en
dc.identifier.citationJAMA Ophthalmol. 2014 Dec;132(12):1474-5.en
dc.identifier.issn2168-6173en
dc.identifier.pmid25255902en
dc.identifier.doi10.1001/jamaophthalmol.2014.3501en
dc.identifier.urihttp://hdl.handle.net/11287/593807en
dc.description.abstractIMPORTANCE: Unlike other modes of long-distance travel, long-haul flights delay urgent, specialist medical treatment until the destination is reached or the plane is diverted. Angle-closure glaucoma (ACG) occurring during those flights results in considerable morbidity and may cause permanent visual loss. It is preventable in patients with risk factors but may be an underrecognized and underreported phenomenon on long-haul flights. OBSERVATION: We report a case series of 3 patients with ACG that developed on long-haul flights. The patients presented to 2 ophthalmic institutions for treatment in the south of England between 2010 and 2012. All patients were female and hypermetropic, and all experienced considerable morbidity while awaiting medical treatment that was not available in flight. CONCLUSION AND RELEVANCE: Individuals with risk factors should be advised on the symptoms of ACG and the appropriate course of action should those symptoms occur. Prophylactic therapy with pilocarpine, 2%, eyedrops may be useful for individuals with risk factors who are embarking on long-haul flights. Airline personnel should be aware of ACG and encouraged to consider the value of training cabin crews to provide appropriate first-aid measures.en
dc.language.isoengen
dc.publisherJAMAen
dc.relation.urlhttp://archopht.jamanetwork.com/article.aspx?doi=10.1001/jamaophthalmol.2014.3501en
dc.titleAngle-closure glaucoma on long-haul flightsen
dc.typeCase Reporten
dc.identifier.journalJAMA ophthalmologyen

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