A 65yr old woman arrives to ED late in the evening complaining of left eye blurring of vision and left frontal headache with nausea.

She has noticed occasional transient blurring of the left eye for several days and was going to see her optometrist in a few days but her main concern now is the pain around the eye and head and the nausea.


Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

  1. What is the differential diagnosis for this patient and explain what particular differentiating questions you would ask in the history?

  2. What is acute closed angle glaucoma(ACAG) and explain how it occurs?

  3. Give the risk factors for acute closed angle glaucoma.

  4. Give the symptoms that occur and signs that you may be able to elicit on examination with a slit lamp in ACAG.

  5. Describe the management of this patient and explain how any treatments work.