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Topical phenylephrine, used in-office for iris dilation, and its prodrugs dipivefrin and apraclonidine have been documented to induce AACG [2] Topical anticholinergic/cycloplegics agents used for pupillary dilation may also lead to AACG [2] [1] Botulinum act at peripheral cholinergic synapses, inhibiting the release of acetylcholine

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Echocardiography showed severe concentric left ventricular hypertrophy (LVH) and a left ventricular ejection fraction of 50%, without any other abnormalities

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