Clinical Case Database / Category: Patient Management

An emergency presentation of acute angle closure (AAC)

Publication details

Richard Dickson-Lowe BSc (HONS), MBChB, Joseph Keenan FRCSEd, FRCOphth
Foundation Years Journal, volume 6, issue 10, p.6 (123Doc Education, London, November 2012)

Abstract

This article gives a brief history of a case of acute angle closure (AAC) presenting to the Medical Assessment Unit (MAU). This is followed by a discussion about terminology, demographics and predisposing factors, history taking (clinical signs and symptoms), eye examination, differential diagnoses and management strategy. In particular, important findings in a patient presenting with AAC that should not be missed and will aid with the decision process of ‘admit or discharge’ will be discussed.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

ProductPriceSubscription
Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart

Authors

Richard Dickson-Lowe BSc (HONS), MBChB

Foundation Year 1 at Royal Surrey County Hospital
Qualified from Warwick Medical School and is working towards his MRCS.

Joseph Keenan FRCSEd, FRCOphth

Consultant Ophthalmic Surgeon at Royal Surrey County Hospital

References

1. Petricek I, Prost M, Papova A. The Differential Diagnosis of Red Eye: A Survey of Medical Practitioners from Eastern Europe and the Middle East. Ophthalmologica 2006, 220: 229-237.
2. Darkeh AK. Glaucoma, Acute Angle-Closure. Updated Aug 12, 2009. http://emedicine.medscape.com/article/798811-overview
3. Gandhewar R, Kamath G. Acute glaucoma presentations in the elderly. Emerg Med J 2005, 22:306-307.
4. Ivani M, Erceg M, Smoljanovi A et al. The incidence and seasonal variations of acute primary angle-closure glaucoma. Coll Antropol 2002, 1:41-45.
5. Figure 2. www.JirehDesign.com viewed on 8th June 2011 at 1200.
6. Leslie PS, Leonard PK. Current Understanding of the Treatment and Outcome of Acute Primary Angle-Closure Glaucoma: An Asian Perspective. Ann Acad Med Singaport 2008, 37:210 214.
7. Judge J. Overview of the red eye. J Ophthalmic Nurs Technol 1992, 11(5): 197-202.
8. Mozzafarieh M, Grieshaber MC, Flammer J. Oxygen and blood flow: players in the pathogenesis of glaucoma. Mol Vis 2008, 14:224-233
9. Pardianto G et al. Aqueous Flow and the Glaucoma. Mimbar Ilmiah Oftalmologi Indonesia, 2005, 2: 12–5.
10. Figure 1. www.medrounds.org at the web address http://webeye.ophth.uiowa.edu/dept/service/glaucoma/images/open-closed.jpg, viewed on 8th June 2011 at 1200.
11. Beaver HA, Lee AG. The management of the red eye for the generalist. Comprehensive Therapy. 28 Apr 2007, 27(3): 218-227.
12. Wirbelauer C. Management of the Red Eye for the Primary Care Physician. Am J Med 2006, 119(4): 302-306.
13. Keltner JL, Gittinger JW, Miller NR, Burder RM. A red eye and high intraocular pressure. Sury Ophthalmol 1987, 31(5): 328-326.

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.