© 2003 Fellowship of Postgraduate Medicine
SELF ASSESSMENT ANSWER
Red eyes, reduced vision, and vomiting
| The first 150 words of the full text of this article appear below. |
Both eyes reveal ciliary injection, corneal oedema, and shallow anterior chambers. Both pupils are oval and mid-dilated along with patches of iris atrophy more prominent in the left eye (figs 1 and 2; see p 542).
Bilateral simultaneous acute angle closure glaucoma. An acute attack of angle closure glaucoma is normally associated with a very high intraocular pressure along with reduced visual acuity, oedematous cornea, and shallow anterior chamber. The intraocular pressure in this case is low in both eyes because of prolonged attack leading to ciliary body shutdown (shock). The ciliary body shutdown led to reduction in aqueous production and the iris atrophic patches signify prolonged exposure of both eyes to high intraocular pressure.
The most important point is to reduce the inflammation so that the antiglaucoma medication can work. The patient was started on prednisolone (0.5%) and pilocarpine (2%) eye drops in both eyes. On further follow
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
- Red eyes, reduced vision, and vomiting
- N Dhingra and M T Watts
Postgrad. Med. J. 2003 79: 542.[Extract] [Full Text] [PDF]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
