Psychotropic drugs for patients with glaucoma

Ugeskr Laeger. 2023 Nov 27;185(48):V03230141.
[Article in Danish]

Abstract

This review offers a summary of the current knowledge of pshychotropic drugs and glaucoma. If exposed to psychotropic drugs, some patients may develop angle-closure glaucoma. Although rarely contraindicated, exposed predisposed and diagnosed patients should be followed-up by an ophthalmologist. It is still unclear if serotonin reuptake inhibitors increase the risk of angle-closure glaucoma. Tricyclic antidepressants and benzodiazepines should be used with caution in predisposed patients. The same applies to antipsychotic drugs, where first-generation antipsychotic drugs might have a smaller impact on the intraocular pressure than second-generation antipsychotic drugs.

Publication types

  • Review
  • English Abstract

MeSH terms

  • Antipsychotic Agents* / adverse effects
  • Glaucoma* / chemically induced
  • Glaucoma* / diagnosis
  • Glaucoma* / drug therapy
  • Glaucoma, Angle-Closure* / chemically induced
  • Humans
  • Psychotropic Drugs
  • Selective Serotonin Reuptake Inhibitors / adverse effects

Substances

  • Antipsychotic Agents
  • Psychotropic Drugs
  • Selective Serotonin Reuptake Inhibitors