Acute angle closure glaucoma

Question 1

list 6 signs of acute ACG

Answer 1

• red eye
• ciliary injection
• diffuse haziness = corneal oedema
• fixed semi dilated pupil
• optic disc swollen
• glaucomfleken cataract may develop

Question 2

list 7 symptoms of acute ACG

Answer 2

• pain
• headache
• abdominal pain
• nausea
• vomiting
• blurred vision
• haloes (from corneal oedema)

Question 3

what is the cause of a primary angle closure

Answer 3

contact between the iris and trabecular meshwork, causing impairment of aqueous outflow

Question 4

what can be a secondary cause of acute ACG

Answer 4

pupil block (75%)

Question 5

list 3 groups of people who have a higher chance of getting acute ACG and why for each

Answer 5

• elderly: small AC
• Female: small eye
• Hyperopes: small eye

Question 6

what is the speed of referral and 2 possbile treatment options for acute ACG

Answer 6

emergency

• acetozolomide: carbonic anhydrase inhibitor = reduces aqueous production
• trabeculectomy

Question 7

list 3 side effects of the carbonic anhydrase inhibitor: acetozolomide

Answer 7

• taste disturbance
• malaise
• gastrointestinal problems