Ophthalmology Case Studies
Acute Primary Angle Glaucoma Mr. Jones in a 65 year old AA who presents to your ER with sud
severe right eye pain while enjoying a movie. He also reports b
with halos around lights, photophobia, headache, abdominal p
episodes of emesis.
Eye exam
-Visual Acuity
OD: 20/200
OS: 20/40
OU: 20/100
Inspection of the eyes
- Lids w/o swelling, redness or scaling
- Conjunctiva-circumcorneal injection
EOM-intact
Right pupil mid-dilated non reactive to light; hazy margins
-right cornea-steamy with edema, negative fluorescein
Pressures
OD: 60 mmHg
OS: 15 mm Hg
Right eye hard to palpation
Fundus - normal
Acute Primary Angle Glaucoma Mr. Jones in a 65 year old AA who presents to your ER with sud
severe right eye pain while enjoying a movie. He also reports b
with halos around lights, photophobia, headache, abdominal p
episodes of emesis.
Eye exam
-Visual Acuity
OD: 20/200
OS: 20/40
OU: 20/100
Inspection of the eyes
- Lids w/o swelling, redness or scaling
- Conjunctiva-circumcorneal injection
EOM-intact
Right pupil mid-dilated non reactive to light; hazy margins
-right cornea-steamy with edema, negative fluorescein
Pressures
OD: 60 mmHg
OS: 15 mm Hg
Right eye hard to palpation
Fundus - normal
