acute angle-closure glaucoma

Question 1

factors predisposing acute angle closure glaucoma

Answer 1

hypermetropia (long sighted ness)
pupillary dilatation
lens growth associated with age

Question 2

presentation of acute angle-closure glaucoma

Answer 2

severe pain- ocular or headache
decreased visual acuity
symptoms worse with mydriasis
hard red eye
haloes around lights
semi-dilated non-reacting pupil
corneal oedema
systemic upset

Question 3

investigations in acute angle-closure glaucoma

Answer 3

tonometry to assess for elevated IOP
gonioscopy- slit lamp

Question 4

management of acute angle-closure glaucoma

Answer 4

urgent referral to ophthalmology
pilocarpine eye drops
IV acetazolamide
analgesia
beta blocker
alpha-2 blocker
definitive management: laser peripheral iridotomy