University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

EyeRounds Online Atlas of Ophthalmology

Contributor: Andrew Doan, MD, PhD, University of Iowa

Category: Glaucoma / Iris

Acute angle closure glaucoma

acute angle closure

1) Patient awoke with severe pain OD, headache, decreased vision OD, and nausea. Photo shows unilateral redeye with hazy cornea. Right eye was very firm with a pressure of 70+ mmHg. Refractive error was +1.50 to +2.00 sphere in each eye.
2) Examination of the left eye showed a narrow anterior chamber by comparing the width between slit beams.
3) Von Herrick Test showed a narrow angle in the left eye. Distance between slit beams should be at least 1/2 of the corneal thickness (~250 microns). Gonioscopy demonstrated a closed angle OS too.
4) Laser peripheral iridotomies (LPI) were performed on both eyes. Aqueous suppressants were started OD and the pressure dropped.


acute angle closure


acute angle closure


acute angle closure




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last updated: 02-08-2008
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