EyeRounds Online Atlas of Ophthalmology

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

Category: Glaucoma
Diagnosis: acute angle closure

acute angle closure

Image Comments:

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.
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acute angle closure


acute angle closure


acute angle closure


 

 

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