Patient/caregiver was educated on the side-effects of using Spiriva as follows:

Vision changes

  1. Inhibition of acetylcholine action in the body, secondary to Spiriva use can result dry eyes with reduced tear production, irritation and redness of eyes, and blurred vision.
  2. Spiriva use can result in pupillary dilation and obstruction to the drainage of fluid (aqueous humor) in the eye. This can result in increase in the intraocular pressure, leading to worsening of glaucoma in individuals with history. Individuals can present with eye pain, headache, deteriorating and blurred vision with haloes around light due to poorly controlled glaucoma.