title: Hypopyon--an unusual sign in acute angle-closure glaucoma.
abstract: The appearance of a hypopyon is an extremely uncommon finding in acute angle-closure glaucoma and only a few cases have been previously reported in the literature. We report a fifty-year-old female who, following a recent bereavement, presented with classical features of acute angle-closure glaucoma and a hypopyon. The eye developed a glaukomflecken and the patient underwent trabeculectomy, extracapsular cataract extraction and intraocular lens implantation with good post-operative results. Because hypopyon in acute angle-closure glaucoma is rare and may cause diagnostic confusion and hence therapeutic difficulties, this case is described to highlight this unusual clinical sign.
authors.affiliation: Singapore National Eye Centre.
authors.forename: K G
authors.initials: KG
authors.lastname: Au Eong
authors.forename: E C
authors.initials: EC
authors.lastname: Chua
authors.forename: C C
authors.initials: CC
authors.lastname: Yip
authors.forename: Y
authors.initials: Y
authors.lastname: Tun
authors.forename: A S
authors.initials: AS
authors.lastname: Lim
mesh_terms: D000208:Acute Disease; D000867:Anterior Chamber / Q000473:pathology* / Q000601:surgery; D002387:Cataract Extraction; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007910:Lenses, Intraocular; D008875:Middle Aged; D013492:Suppuration; D014130:Trabeculectomy