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Acute angle-closure glaucoma — ABEM Board MCQ

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ModerateHead/Neck/ENT/Ophthalmology emergenciesAcute angle-closure glaucomaABEM Board

A 50-year-old man arrives as ESI 2 with severe right eye pain, headache, nausea, and blurred vision. The right pupil is mid-dilated and fixed; the cornea is hazy and intraocular pressure is 54 mm Hg. Which of the following is the most likely diagnosis?

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Correct answer: CAcute angle-closure glaucoma

Painful red eye with mid-dilated pupil, hazy cornea, nausea, and very high IOP indicates acute angle-closure glaucoma.

Reference: AAO Preferred Practice Pattern; Tintinalli Emergency Medicine