Acute Angle-Closure Glaucoma

Ophthalmology

Overview

Definition

Sudden blockage of aqueous humor outflow.

Epidemiology

Varies globally. Often age and lifestyle dependent.

Etiology & Risk Factors

  • Anatomically narrow angle, pupil dilation.

Clinical Symptoms

  • Severe eye pain
  • blurred vision
  • halos around lights
  • nausea.

Clinical Approach

Diagnosis

  • High IOP
  • mid-dilated fixed pupil
  • shallow anterior chamber.

Management

  • IV Acetazolamide
  • topical beta-blockers/pilocarpine
  • Laser iridotomy.

Complications

  • Rapid permanent vision loss.