Review Note
Last Update: 08/11/2024 07:26 AM
Current Deck: RACGP
Published
Fields:
Front
80F presents to your clinic at 8am after waking overnight with unilateral red eye, severe pain, headache, reduced vision, nausea and vomiting. Wears glasses for reading.
1. Diagnosis
2. Exam findings
3. Next management step
1. Diagnosis
2. Exam findings
3. Next management step
Back
1. Acute angle closure glaucoma
2. Examination
2. Examination
Firm,
tender eye
Cloudy, oedematous cornea
Fixed and mid-dilated pupil
High IOP
Shallow anterior chamber
Cloudy, oedematous cornea
Fixed and mid-dilated pupil
High IOP
Shallow anterior chamber
3. Management (included ophthalmology Mx)
Urgent
ophthalmology referral
Reduce IOP stat (acetazolamide IV and oral)
Topical B-blocker (timolol)
Topical steroids
Peripheral iridotomy laser once IOP reduced
Reduce IOP stat (acetazolamide IV and oral)
Topical B-blocker (timolol)
Topical steroids
Peripheral iridotomy laser once IOP reduced
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