Epinephrine not used in :
Correct Answer: Aphakic glaucoma
Description: C i.e. Aphakic glaucoma Epinephrine (sympathomimetic drugs) should be avoided in aphakics Q due to possibility of cystoid macular oedema and in narrow angle glaucoma Q because mydriasis may precipitate the attack. In inflammatory glaucoma (uveitis glaucoma), prostaglandin analogue & pilocarpine are contraindicatedQ Miotics (e.g. pilocarpine) makes the iris thin & pulls it away from lens removing the pupillary block, increasing the chances of posterior synechiae (due to stretching & increased surface of iris) and restoring aqueous flow by opening irido-corneal angle. Anterior chamber becomes deep Q due to stretching of iris (which was earlier piled up.)
Category:
Ophthalmology
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