A 52-year-old woman
π a 24-hour history of severe pain and blurred vision in the left eye
What is the likely diagnosis?
Acute conjunctivitis
Acute angle-closure glaucoma
Acute orbital compartment syndrome
Ulcerative keratitis
Vitreous hemorrhage
π a 24-hour history of severe pain and blurred vision in the left eye
What is the likely diagnosis?
Acute conjunctivitis
Acute angle-closure glaucoma
Acute orbital compartment syndrome
Ulcerative keratitis
Vitreous hemorrhage
π described the pain as constant with a shooting character, lasting a few seconds
π examination of her lt eye revealed
π mid-dilated pupil that was unresponsive to light
π redness of the conjunctiva
π hardening of the left orbit on palpation
π VA 20/125 in the lt eye
π examination of her lt eye revealed
π mid-dilated pupil that was unresponsive to light
π redness of the conjunctiva
π hardening of the left orbit on palpation
π VA 20/125 in the lt eye
An increased intraocular pressure of 55 mm Hg (normal range, 10 to 21) confirmed the diagnosis of acute angle-closure glaucoma,
πan ophthalmologic emergency that is characterized by
π rapid increase in intraocular pressure due to impaired outflow of aqueous humor
πan ophthalmologic emergency that is characterized by
π rapid increase in intraocular pressure due to impaired outflow of aqueous humor
Symptoms can be precipitated by
πdim light
π certain medications, including anticholinergic and sympathomimetic drugs
π no history of taking these medications nor was any other cause identified
πdim light
π certain medications, including anticholinergic and sympathomimetic drugs
π no history of taking these medications nor was any other cause identified
π treated with
πintravenous acetazolamide
π a topical carbonic anhydrase inhibitor
π an Ξ±2-adrenergic agonist
π underwent laser iridotomy
πafter which her symptoms rapidly resolved
πintravenous acetazolamide
π a topical carbonic anhydrase inhibitor
π an Ξ±2-adrenergic agonist
π underwent laser iridotomy
πafter which her symptoms rapidly resolved
When she was discharged 4 hours later, the intraocular pressure was 10 mm Hg.
Subsequently, the patient was lost to long-term follow-up.
Subsequently, the patient was lost to long-term follow-up.
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