Consultant Ophthalmologist,
Cataract & Refractive Surgeon

BMedSci BM BS MRCS MRCSEd MRCOpth FRCOphth MMedLaw PgD Cataract & Refractive Surgery

Acute Angle Closure Glaucoma

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Vision?

Blurred

Stickiness?

No

Laterality?

Unilateral

Painful?

Yes. Nausea is a predominant accompaniment to pain, related to raised intraocular pressure. The pain is often localised to the eyebrow.

Visual acuity?

Reduced to approximately 6/36 or even worse, depending on the degree of ensuing corneal oedema.

Where is the redness?

More marked around the limbus

Stain on cornea?

No, although there may be diffuse pinpoint staining over the cornea related to the corneal oedema and resulting in an unhealthy corneal epithelium.

Pupil?

Fixed and mid-dilated. If the pupil reacts normally, then the condition is not angle–closure glaucoma.

Is the cornea clear?

No, hazy with a 'ground-glass' appearance.

Conjunctival appearance?

Normal