Ophthalmology
Acute Angle Closure Glaucoma
Emergency recognition and stepwise IOP-lowering treatment for AACG, followed by laser iridotomy
Source: RCOphth / EGS Guidelines
Step 1 of ~7
info
Acute Angle Closure Glaucoma
Ophthalmic emergency. Features: severe unilateral eye pain, headache, nausea/vomiting, blurred vision, halos around lights, fixed mid-dilated oval pupil, corneal oedema/haziness, injected eye. IOP typically >40 mmHg (normal 10–21). Often precipitated by dim lighting or mydriatic drugs.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Dorzolamide / Timolol Fixed Combination (Cosopt) · Fixed Combination Glaucoma Treatment — CAI + Beta-blocker
- Brimonidine / Timolol Fixed Combination · Fixed Combination Glaucoma Treatment — Alpha-2 Agonist + Beta-blocker
- Esketamine · NMDA Receptor Antagonist (Treatment-Resistant Depression / Acute Suicidality)
- Labetalol (IV — Hypertensive Emergency) · Combined Alpha-1 and Beta-Adrenergic Blocker
- Atorvastatin · Lipid-Lowering
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
Pathways
- Acute Red Eye Assessment · RCOphth / AAO
- Retinal Detachment · RCOphth Guidelines / EURETINA
- Diabetic Retinopathy — Screening and Management · NICE NG28 2016 / NHS DES Programme
- Anterior Uveitis (Iritis) · RCOphth / SUN Criteria / EURETINA
- Acute Visual Loss · RCOphth / RNIB / AAO guidelines
- Corneal Foreign Body · RCOphth / AAO
Decision support only. Always apply local guidelines and clinical judgement.