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A rare case of zolendronate infusion complication leading to glaucoma filtration surgery

Overview of attention for article published in Clinical Ophthalmology, August 2011
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Title
A rare case of zolendronate infusion complication leading to glaucoma filtration surgery
Published in
Clinical Ophthalmology, August 2011
DOI 10.2147/opth.s22429
Pubmed ID
Authors

A Khan, G Lascaratos, T Rane-Malcolm, R Sanders

Abstract

Zolendronic acid is a nitrogenous biphosphonate commonly used as an intravenous infusion for the management of Paget's disease, osteoporosis, and hypercalcemia of malignancy. We report a rare and challenging complication of zolendronate infusion: unilateral acute anterior uveitis followed by persistently raised intraocular pressure despite being on four different classes of antiglaucoma medication. The challenge was that the patient required topical steroid to treat her uveitis in the background of known glaucoma with corresponding steroid response. She eventually underwent a left phacotrabeculectomy augmented with 5-fluorouracil. Four weeks postoperatively she developed an encapsulated bleb and underwent needling with 5-fluorouracil. This case highlights the importance of having a high index of suspicion for anterior uveitis in patients with a red and painful eye after initiating biphosphonate therapy. Caution should also be exercised when prescribing biphosponates to glaucoma patients.

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Mendeley readers

Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 9 100%

Demographic breakdown

Readers by professional status Count As %
Librarian 2 22%
Researcher 2 22%
Student > Bachelor 1 11%
Student > Ph. D. Student 1 11%
Unknown 3 33%
Readers by discipline Count As %
Medicine and Dentistry 5 56%
Agricultural and Biological Sciences 1 11%
Unknown 3 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 September 2011.
All research outputs
#20,656,161
of 25,374,647 outputs
Outputs from Clinical Ophthalmology
#2,605
of 3,712 outputs
Outputs of similar age
#108,329
of 130,326 outputs
Outputs of similar age from Clinical Ophthalmology
#16
of 25 outputs
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