Case #19 Angle Closure Glaucoma

History

This 71-year-old gentleman presents with a history of acute pain in the right eye with nausea and vomiting.

What accounts for the dull and broken up light reflex on the patient's cornea?

Is this patient more likely to be near-sighted (myopic) or far-sighted (hyperopic)?

If this patient had intermittent episodes of elevated pressure in the past, what symptoms might he have noted other than discomfort?

What is the medical therapy in a case presenting acutely? Is the definitive therapy for this condition medical or surgical?

Is there any significant risk of a similar condition developing in the contralateral eye?

Shields, MB:Textbook of Glaucoma. Baltimore: Williams and Wilkins, 1987: 165-181.