Sudden rise in IOP from blockage of aqueous outflow — sight-threatening.
Clinical features
- • Severe eye pain, headache, nausea, vomiting
- • Blurred vision, haloes around lights
Examination
- • Red eye, cloudy cornea
- • Fixed mid-dilated pupil
- • Rock-hard eyeball
Management
- • Lie supine; urgent ophthalmology
- • Topical: timolol 0.5%, pilocarpine 2%, apraclonidine
- • Oral acetazolamide 500 mg + IV if vomiting
- • Mannitol 1 g/kg IV if refractory
- • Definitive: laser peripheral iridotomy
References
- • RCOphth Glaucoma 2022
Related in WardRound
Educational — verify locally.
