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Unusual case of bilateral angle closure glaucoma
Madhu Thapa1, Safal Khanal1, Prajwal Kumar1
1B.P. Koirala Lions center for Ophthalmic studies, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|December 24, 2013
Summary
A rare case of bilateral angle closure glaucoma presented with headache and vomiting. Prompt ophthalmic consultation led to a diagnosis and successful treatment, restoring vision and relieving symptoms.
Area of Science:
- Ophthalmology
- Emergency Medicine
Background:
- Bilateral angle closure glaucoma is a rare but potentially blinding ocular emergency.
- Delayed diagnosis can lead to irreversible vision loss.
Observation:
- A 72-year-old male presented with headache, vomiting, and blurred vision.
- Initial investigations including CT scan head were inconclusive.
- Ophthalmic consultation revealed bilateral angle closure glaucoma.
Findings:
- The patient was diagnosed with bilateral angle closure glaucoma.
- Treatment resulted in comfortable status, normal intraocular pressure, and improved vision within two hours.
Implications:
- Highlights the importance of considering ophthalmic causes for non-specific symptoms like headache and vomiting.
- Emphasizes the critical role of timely ophthalmic consultation in managing ocular emergencies.
- Demonstrates the effectiveness of prompt treatment for angle closure glaucoma.
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