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Acute Persistent Visual Loss: Acute Angle-Closure Glaucoma

Angle-closure glaucoma

What causes it?
Blockage of the aqueous outflow channels by the iris can send intraocular pressure up suddenly and produce a cloudly cornea, severe aching eye, and brow pain.

What to do?
Try to lower intraocular pressure by instilling topical pilocarpine 2% every five minutes for three doses, topical timolol 0.5% one dose, and acetazolamide 500 mg one dose by mouth of vein. Then refer promptly to an ophthalmologist.

To learn more, go to Red Eye: Acute angle-closure glaucoma or Principal Ophthalmic Conditions: Glaucoma.

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