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Ophthalmology and Visual Sciences

Acute Angle Closure Glaucoma

Acute Angle Closure Glaucoma

Category(ies): Glaucoma/Iris
Contributor: Andrew Doan, MD, PhD
Posted: February 8, 2008

  1. Patient awoke with severe pain OD, headache, decreased vision OD, and nausea. Photo shows unilateral redeye with hazy cornea. Right eye was very firm with a pressure of 70+ mmHg. Refractive error was +1.50 to +2.00 sphere in each eye.
  2. Examination of the left eye showed a narrow anterior chamber by comparing the width between slit beams.
  3. Von Herrick Test showed a narrow angle in the left eye. Distance between slit beams should be at least 1/2 of the corneal thickness (~250 microns). Gonioscopy demonstrated a closed angle OS too.
  4. Laser peripheral iridotomies (LPI) were performed on both eyes. Aqueous suppressants were started OD and the pressure dropped.