Acute Closed Angle Glaucoma

Question 1

Give 3 risk factors for acute closed angle glaucoma?

Answer 1

Asian ethnicity
Hypermetropia (long-sightedness)
Old age

Question 2

What treatment should be started 1st for acute angle closure glaucoma?

Answer 2

Triad of:

1) Acetozolamide
2) Pilocarpine
3) Timolol

Question 3

Surgical intervention for acute angle closure glaucoma?

Answer 3

Peripheral iridotomy. Often contralateral eye is also treated

Question 4

SSx of acute angle closure glaucoma?

Answer 4

Sudden onset visual loss
Painful red eye
Fixed, mid-dilated pupil
RAPD
Haloes around light
Watching TV at night more difficult (symptoms worse with mydriasis)

Corneal oedema
Fixed, hard eye