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Bilateral acute angle closure glaucoma after administration of paroxetine EDITOR,-Paroxetine, a selective serotonin re-uptake inhibitor is said to have a reduced incidence of cholinergic side eVects compared with older agents. We describe a case of a patient presenting with bilateral angle closure after commencement of therapy with paroxetine.

Whenever in doubt, patients at risk of PACG who are starting on drug therapy known to provoke angle closure or aggravate the condition should be referred for detailed gonioscopic examination of the anterior chamber by an ophthalmologist. AREAS FOR DEVELOPING RESEARCH: The use of new imaging methods such as anterior segment optical coherence tomography to assess the presence or risk of angle closure is gaining popularity, and may offer a more rapid method of identifying people who are at risk of sight loss from angle-closure glaucoma precipitated by non-ophthalmological medication.

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