Bilateral transient myopia induced by oral acetazolamide in the early postoperative period after phacoemulsification

Abstract

A 62-year-old man with bilateral pseudophakia experienced transient myopia and diminished distant vision after administration of oral acetazolamide following his second cataract surgery. Neither eye demonstrated elevated intraocular pressure, closed angles, or choroidal detachments. The idiosyncratic myopic shift resolved within a few days without intervention and vision improved. This unique presentation and its role in understanding the mechanism of action underlying acetazolamide-induced myopia were examined.