Angle Closure Glaucoma

If the pupils are equal and reactive, the patient does not have angle closure glaucoma (you will always be asked about pupil reactions when you try to refer angle closure)

If you saw a 55 year old lady with headache and blurred vision, which of the following features would be suggestive of Angle Closure Glaucoma?

  • Vomiting
  • Neck pain
  • Shimmering visual disturbance to one side
  • Blurred vision in one eye
  • Photophobia
  • Non blanching rash
  • Fixed dilated pupil
  • Hazy Cornea
  • Long sighted
  • Aged >50
  • Recently started amitryptilline

How urgently should the patient be referred? Why?

What treatment are they likely to receive?

For assessing difference in pupil sizes, watch the following video on anisocoria

Leave a Reply

Your email address will not be published. Required fields are marked *