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Acute glaucoma presentations in the elderly.

R R Gandhewar1, G G Kamath

  • 1University Hospital of Wales, Cardiff CF14 4XW, UK. ravigandhewar@hotmail.com

Emergency Medicine Journal : EMJ
|March 25, 2005
PubMed
Summary
This summary is machine-generated.

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Acute glaucoma can cause severe eye pain and vision loss. Doctors should consider this diagnosis in elderly patients presenting with systemic symptoms like headache or malaise, even without obvious eye complaints.

Area of Science:

  • Ophthalmology
  • Geriatric Medicine

Background:

  • Acute glaucoma is an ophthalmic emergency characterized by sudden intraocular pressure increase.
  • Classical symptoms include severe eye pain, redness, and decreased vision, potentially with systemic manifestations.

Observation:

  • This report details three cases of acute glaucoma in elderly individuals.
  • Elderly patients may present with atypical symptoms, including headache, malaise, or gastrointestinal issues, alongside ocular signs.

Findings:

  • The diagnosis is typically straightforward with classic ocular signs: painful red eye, reduced visual acuity, hazy cornea, and a fixed, semi-dilated pupil.
  • However, subtle presentations in the elderly necessitate a high index of suspicion.

Implications:

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  • Healthcare providers should be vigilant for acute glaucoma in elderly patients, even with non-specific symptoms.
  • Prompt diagnosis and intervention are crucial to prevent irreversible vision loss.