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Acute angle-closure glaucoma — ABFM Board MCQ

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HardENT, OphthalmologyAcute angle-closure glaucomaABFM Board

A 40-year-old woman has sudden severe eye pain, headache, halos around lights, nausea, and blurred vision. The eye is red, the pupil is mid-dilated, and intraocular pressure is elevated. Which of the following is the most likely diagnosis?

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Correct answer: C — Acute angle-closure glaucoma

Severe eye pain, halos, headache, nausea, red eye, mid-dilated pupil, and elevated intraocular pressure are typical of acute angle-closure glaucoma, an ophthalmic emergency.

Reference: AAO Primary Angle Closure Preferred Practice Pattern