A 62-year-old woman presents with sudden onset severe right eye pain, blurred vision, haloes around lights and nausea. The eye is red with a mid-dilat...

Question

A 62-year-old woman presents with sudden onset severe right eye pain, blurred vision, haloes around lights and nausea. The eye is red with a mid-dilated fixed pupil and the cornea appears cloudy. What is the most appropriate action?

Accepted Answer

Urgent same-day ophthalmology referral for suspected acute angle-closure glaucoma

Answer

Prescribe topical Chloramphenicol and review in 1 week

Answer

Reassure as likely conjunctivitis

Answer

Start oral Prednisolone and no referral

Answer

Arrange routine optician review only

uk-plab-1 MCQ (SBA): Acute angle-closure glaucoma

A 62-year-old woman presents with sudden onset severe right eye pain, blurred vision, haloes around lights and nausea. The eye is red with a mid-dilated fixed pupil and the cornea appears cloudy. What is the most appropriate action?