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Angle Closure Glaucoma

 Syn. narrow angle glaucoma , angle-closure glaucoma

Signs & Symptoms

 Sudden onset of visual loss #Acute_angle_closure_glaucoma
Ref: Uptodate [ Angle closure glaucoma] Vaughan [ 539,540] BCSC [ 85]
Sudden onset #Acute_angle_closure_glaucoma
Ref: Uptodate [ Angle closure glaucoma] Vaughan [ 539,540] BCSC [ 85]
Decreased vision #Acute_angle_closure_glaucoma
Ref: Uptodate [ Angle closure glaucoma] Vaughan [ 539,540] BCSC [ 85]
Vomiting #Acute_angle_closure_glaucoma
Ref: Uptodate [ Angle closure glaucoma] Vaughan [ 540] BCSC [ 85]

Physical Examination

 Increased intraocular pressure
Note: due to sudden blockage of the trabecular meshwork by iris,If there is no tonometer , in palpation globe is tense
Ref: Vaughan [ 540] BCSC [ 85]
Corneal edema #Acute_angle_closure_glaucoma
Ref: Uptodate [ Angle closure glaucoma] Vaughan [ 540] BCSC [ 86]
Unilataral
Ref: Uptodate [ Angle closure glaucoma] Vaughan [ 540]

Lab / Serology

Imagin Study

Complication

 Preferential superior cupping
Ref: Uptodate [ Angle closure glaucoma] Vaughan [ 540,528] BCSC [ 87]
Peripheral anterior synechiae
Ref: Vaughan [ 540] BCSC [ 84]
Cupping of optic disc
Ref: Uptodate [ Angle closure glaucoma] Vaughan [ 540,528] BCSC [ 87]

Risk Factors

 Female
Ref: BCSC [ 84-85]
Age greater than 60
Ref: Vaughan [ 539]
Asian
Ref: Uptodate [ Angle closure glaucoma]

Cause

 Choroidal hemorrhage #Secondary_angle_closure_glaucoma
Note: due to Ophthalmic surgery, retinal laser treatment, posterior scleritis, drug reactions, topiramat use
Ref: Uptodate [ Angle closure glaucoma]
Plateau iris syndrome #Secondary_angle_closure_glaucoma
Ref: Uptodate [ Angle closure glaucoma]
Space-occupying lesion in the posterior segment of the eyeball #Secondary_angle_closure_glaucoma
Note: Such as a tumor or a gas bubble placed during retinal surgery
Ref: Uptodate [ Angle closure glaucoma]

Other