Rare Presentations of Acute Angle Closure: A Case Series

To report a unique presentation of an acute attack of angle closure glaucoma.

This report describes two cases of acute angle closure (AAC) presenting with ciliary body shutdown.

Case 1-A middle-aged male reported with pain, watering, congestion, and decreased vision in the right eye (RE) since 6 days. He had clinical signs of hypotony in the RE with an intraocular pressure (IOP) of 5 mm Hg and poor ocular tone digitally. A diagnosis of acute attack of angle closure glaucoma was made, and he underwent YAG laser peripheral iridotomy (LPI) in both eyes. Case 2-Reported a patient with high hypermetropia who presented with acute angle crisis following a dilated evaluation and presented with low pressures.

Angle closure should be strongly suspected in patients with pain and sudden vision blurring, even if the initial IOP is low.

Sharma A, Dubey S. Rare Presentations of Acute Angle Closure: A Case Series. J Curr Glaucoma Pract 2025;19(2):94-96.