Disease Overview
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OCT nerve
OCT macula (specifically ganglion cell analysis)
Pachymetry
24-2 Visual Field (10-2 for severe cases)
ERG (can be helpful to diagnose)
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Description:
Sudden rise in intraocular pressure (IOP) due to blockage of the trabecular meshwork by the iris.
Symptoms include severe eye pain, blurred vision, halos around lights, headache, nausea, and a mid-dilated pupil.
Treatment:
Immediate IOP-lowering agents:
ral acetazolamide
Topical beta-blockers
Alpha-agonists
Pilocarpine
Perform laser peripheral iridotomy once IOP is reduced.
Emergency?: Yes, this is a sight-threatening emergency.
Differential Diagnoses:
Uveitis
Conjunctivitis
Corneal abrasion
Scleritis