|Rare cause of painful
red eye but early diagnosis important to prevent severe visual loss.
Severely painful red eye.
Haloes around light common.
Patients usually over 50 years old.
Nausea and vomiting common
Reduced visual acuity.
Hazy cornea and the iris is not clearly
Pupil is fixed or semi-dilated, unreactive
Urgent referrals ie as soon as possible
and not the next day.
Patient is usually admitted and given
acetazolamide IV to lower pressure.
Topical pilocarpine and steroid
(to reduce inflammation) are also given.
Eye of a patient with acute angle
closure glaucoma. Note the hazy cornea with
semi-dilated and distorted pupil
which are the common signs in this condition. In
addition, digital palpation usually
reveals that the affected eye is firmer than the
unaffected eye due to the high intraocular
to the red eyes