Acute Angle Closure Glaucoma

Question 1

Risk factors for angle closure glaucoma

Answer 1

Female, Asian, use of certain medications such as those with antimuscarinic properties

Question 2

Symptoms of AACG

Answer 2

Sudden headache, nausea, red eye and visual disturbance, haloes, worse at night as pupil dilates

Question 3

Examination of AACG

Answer 3

Red eye, cloudy cornea, mid dilated pupil

Question 4

Initial management of AACG

Answer 4

Muscarinic agonists sych as pilocarpine drops, oral acetazolamide and topical beta blocker such as timolol.

Question 5

Definitive management of AACG

Answer 5

Peripheral iridotomy

Question 6

Complications of AACG

Answer 6

Temporary loss of vision, malignant glaucoma, iris sphincter atrophy, permanently dilated pupil, permanent blindness