eMedicine Specialties > Emergency Medicine > Ophthalmology
Glaucoma, Acute Angle-Closure: Differential Diagnoses & Workup
Updated: Aug 12, 2009
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
Differential Diagnoses
Other Problems to Be Considered
Anterior uveitis
Plateau iris syndrome
Workup
Laboratory Studies
- The diagnosis of acute angle-closure glaucoma (AACG) is predicated upon the clinical presentation of painful vision loss and a physical examination revealing a fixed mid-dilated pupil. No definitive laboratory or imaging studies are available. However, tonometry must be performed and must demonstrate increased intraocular pressure (IOP).
More on Glaucoma, Acute Angle-Closure |
| Overview: Glaucoma, Acute Angle-Closure |
Differential Diagnoses & Workup: Glaucoma, Acute Angle-Closure |
| Treatment & Medication: Glaucoma, Acute Angle-Closure |
| Follow-up: Glaucoma, Acute Angle-Closure |
| References |
| Further Reading |
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References
Berkoff DJ, Sanchez LD. An uncommon presentation of acute angle closure glaucoma. J Emerg Med. Jul 2005;29(1):43-4. [Medline].
Yip LW, Aquino MC, Chew PT. Measurement of anterior lens growth after acute primary angle-closure glaucoma. Can J Ophthalmol. Apr 2007;42(2):321-2. [Medline].
Ang LP, Ang LP. Current understanding of the treatment and outcome of acute primary angle-closure glaucoma: an Asian perspective. Ann Acad Med Singapore. Mar 2008;37(3):210-5. [Medline].
Rahim SA, Sahlas DJ, Shadowitz S. Blinded by pressure and pain. Lancet. Jun 25-Jul 1 2005;365(9478):2244. [Medline].
Cholongitas E, Pipili C, Dasenaki M. Acute angle closure glaucoma presented with nausea and epigastric pain. Dig Dis Sci. May 2008;53(5):1430-1. [Medline].
Croos R, Thirumalai S, Hassan S, Davis Jda R. Citalopram associated with acute angle-closure glaucoma: case report. BMC Ophthalmol. Oct 4 2005;5:23. [Medline].
Choong YF, Irfan S, Menage MJ. Acute angle closure glaucoma: an evaluation of a protocol for acute treatment. Eye. Oct 1999;13 (Pt 5):613-6. [Medline].
Mansouri K, Ravinet E. Argon-laser iridoplasty in the management of uveitis-induced acute angle-closure glaucoma. Eur J Ophthalmol. Mar-Apr 2009;19(2):304-6. [Medline].
Ang LP, Aung T, Chua WH, Yip LW, Chew PT. Visual field loss from primary angle-closure glaucoma: a comparative study of symptomatic and asymptomatic disease. Ophthalmology. Sep 2004;111(9):1636-40. [Medline].
Aung T, Friedman DS, Chew PT, Ang LP, Gazzard G, Lai YF, et al. Long-term outcomes in Asians after acute primary angle closure. Ophthalmology. Aug 2004;111(8):1464-9. [Medline].
Aung T, Oen FT, Wong HT, et al. Randomised controlled trial comparing the effect of brimonidine and timolol on visual field loss after acute primary angle closure. Br J Ophthalmol. Jan 2004;88(1):88-94. [Medline].
Blake DR, Nathan DM. Acute angle closure glaucoma following rapid correction of hyperglycemia. Diabetes Care. Nov 2003;26(11):3197-8. [Medline].
Bonomi L, Marchini G, Marraffa M, et al. Epidemiology of angle-closure glaucoma: prevalence, clinical types, and association with peripheral anterior chamber depth in the Egna-Neumarket Glaucoma Study. Ophthalmology. May 2000;107(5):998-1003. [Medline].
Fourman S. Diagnosing acute angle-closure glaucoma: a flowchart. Surv Ophthalmol. May-Jun 1989;33(6):491-4. [Medline].
Fricke TR, Mantzioros N, Vingrys AJ. Management of patients with narrow angles and acute angle-closure glaucoma. Clin Exp Optom. Nov 1998;81(6):255-266. [Medline].
Gohdo T, Tsumura T, Iijima H, Kashiwagi K, Tsukahara S. Ultrasound biomicroscopic study of ciliary body thickness in eyes with narrow angles. Am J Ophthalmol. Mar 2000;129(3):342-6. [Medline].
Kramer P, Ritch R. The treatment of acute angle-closure glaucoma revisited. Ann Ophthalmol. Dec 1984;16(12):1101-3. [Medline].
Lam D, Tham C, Lai J, et al. Current approaches to management of acute primary angle closure. Curr Opinion Ophthalmol. 2001;18:146-151.
Lim LS, Aung T, Husain R, Wu YJ, Gazzard G, Seah SK. Acute primary angle closure: configuration of the drainage angle in the first year after laser peripheral iridotomy. Ophthalmology. Aug 2004;111(8):1470-4. [Medline].
Lowe RF. Aetiology of the anatomical basis for primary angle-closure glaucoma. Biometrical comparisons between normal eyes and eyes with primary angle-closure glaucoma. Br J Ophthalmol. Mar 1970;54(3):161-9. [Medline].
MacCumber M. Management of Ocular Injuries and Emergencies. 1998:237-240.
Markowitz SN, Morin JD. Angle-closure glaucoma: relation between lens thickness, anterior chamber depth and age. Can J Ophthalmol. Dec 1984;19(7):300-2. [Medline].
Ritch R. Assessing the treatment of angle closure. Ophthalmology. Oct 2003;110(10):1867-8. [Medline].
Salmon JF. The management of acute angle-closure glaucoma. Eye. Oct 1999;13 (Pt 5):609-10. [Medline].
Saw SM, Gazzard G, Friedman DS. Interventions for angle-closure glaucoma: an evidence-based update. Ophthalmology. Oct 2003;110(10):1869-78; quiz 1878-9, 1930. [Medline].
Further Reading
Related eMedicine topics
Glaucoma, Angle Closure, Acute (from Ophthalmology)
Glaucoma, Drug-Induced (Ophthalmology)
Sudden Visual Loss (from Ophthalmology)
Guidelines
Primary Angle Closure
Glaucoma
Clinical studies
ALPI vs Medical Therapy Effects on Optic Nerve Structure & Function (Iridoplasty)
Keywords
acute angle-closure glaucoma, acute angle closure glaucoma, acute angle closure, AACG, primary angle closure, primary angle-closure glaucoma, increased intraocular pressure, decreased visual acuity, increased IOP
Differential Diagnoses & Workup: Glaucoma, Acute Angle-Closure