Acute Angle Closure Glaucoma

Question 1

Definitive treatment for acute angle-closure glaucoma

Answer 1

Laser peripheral iridotomy

Question 2

Acute closed-angle glaucoma presents with a fixed dilated pupil with conjunctival injection

Answer 2

Acute closed-angle glaucoma presents with a fixed dilated pupil with conjunctival injection

Question 3

A 62-year-old woman presents to the ophthalmology clinic with a sudden onset of a painful, red right eye, associated with blurred vision, headache, and seeing halos around lights.

On examination, the right eye demonstrates a mid-dilated, non-reactive pupil, and increased intraocular pressure.

What is the most appropriate definitive treatment for this patient’s condition and diagnosis?

Answer 3

Acute closed-angle glaucoma- Laser peripheral iridotomy

Question 4

red unilateral eye
blurred vision
headache
‘halos around light’

increased intraocular pressure- upon examination

Answer 4

Acute closed-angle glaucoma

Question 5

features of acute closed-angle glaucoma

Answer 5

severe pain: may be ocular or headache

decreased visual acuity

symptoms worse with mydriasis (e.g. watching TV in a dark room)

hard, red-eye

haloes around lights

semi-dilated non-reacting pupil

corneal oedema results in dull or hazy cornea

systemic upset may be seen, such as nausea and vomiting and even abdominal pain

Question 6

fundoscopy findings of glaucoma

Answer 6

Cupping of the optic disc is seen in glaucoma and is due to damage to the optic nerve.