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A 53-year-old woman with a severe headache, bilateral eye pain, blurred vision, and photophobia
Digital Journal of Ophthalmology 2011
Volume 17, Number 3
August 28, 2011
DOI: 10.5693/djo.03.2011.05.002
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Pedro Barros, MD | Department of Ophthalmology, Hospital Pedro Hispano, Porto, Portugal Liliana Paris, MD | Department of Ophthalmology, Hospital Pedro Hispano, Porto, Portugal Joana Martins, MD | Department of Ophthalmology, Hospital Pedro Hispano, Porto, Portugal Paula Tenedorio, MD | Department of Ophthalmology, Hospital Pedro Hispano, Porto, Portugal
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| Examination | | On arrival, her visual acuity was counting fingers in both eyes. Intraocular pressure (IOP) measured 45 mm Hg in the right eye and 49 mm Hg in the left eye by applanation tonometry. She had fixed pupils, conjunctival chemosis and injection, moderate corneal edema, markedly shallow anterior chambers with 360° iridocorneal touch peripherally and a 4.00 D myopic shift in both eyes. Gonioscopy revealed closed angles bilaterally with a flat iris configuration. The cup/disc ratio was 0.2 in both eyes. | |
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