Narrow-angle glaucoma presenting as acute, painless visual impairment.
A 42-year-old woman presented with the acute onset of bilateral blurred vision that occurred immediately after bending over. She denied pain or any other associated symptoms. Markedly increased intraocular pressure readings were found. Treatment for acute narrow-angle glaucoma was initiated, and normal vision returned. This case represents an atypical presentation of acute narrow-angle glaucoma, a true ophthalmological emergency. The pathophysiology and treatment options of this disease process are summarized.
Rosenberg
C A
CA
Program in Emergency Medicine, University of Illinois, Chicago 60612.
Adams
S L
SL
D000086:Acetazolamide / Q000008:administration & dosage / Q000627:therapeutic use; D000328:Adult; D004636:Emergency Service, Hospital; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D053685:Laser Therapy; D009885:Ophthalmology; D010862:Pilocarpine / Q000008:administration & dosage / Q000627:therapeutic use; D012017:Referral and Consultation; D014786:Vision Disorders / Q000209:etiology*
D010862:Pilocarpine; D000086:Acetazolamide