Angle Closure in Fellow Eye with Prophylactic Pilocarpine Treatment

The document discussed two cases of unilateral primary acute angle closure glaucoma where prophylactic pilocarpine treatment was used. Despite this treatment, both patients developed angle closure in the fellow eye within 24 hours of admission. The first case involved an 81-year-old woman who experienced increased pain and redness in her right eye, with significantly elevated intraocular pressure. The study highlighted the potential risk of angle closure in the untreated eye even when prophylactic pilocarpine was administered, suggesting that close monitoring and timely intervention are crucial in such cases.