Acute angle closure glaucoma misdiagnosed as sinusitis.

Autor: Si-Yi Lee, Natalie, Woo, Thomas L., Agar, Ashish, Francis, Ian C.
Předmět:
Zdroj: Practical Neurology; Dec2023, Vol. 23 Issue 6, p527-529, 3p
Abstrakt: A 69-year-old woman developed severe right suprabulbar pain with blurred right-sided vision. There were no haloes around lights, photophobia, nausea or vomiting. Investigations in the emergency department excluded a posterior communicating/internal carotid artery aneurysm. However, she did not have an ophthalmological assessment and the initial diagnosis was of sinusitis-related headache. An urgent ear, nose and throat assessment found no abnormality, but a local ophthalmologist subsequently diagnosed and managed the patient's acute angle closure crisis. Periocular pain always deserves detailed assessment with an accurate history, visual acuity assessment and intraocular pressure measurement. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index