Determining the Cause

Chief Complaint: Eye Pain

a. History: Severe headache

Pivotal Assessment Finding

History

 

Symptoms

Glaucoma presents with a prostrating headache associated with nausea and vomiting. The headache often starts with severe eye pain.

 

Closed-angle glaucoma (also called angle-closure glaucoma or acute glaucoma) is an ophthalmic emergency and can cause rapid vision loss if not treated promptly. The symptoms often come on suddenly and are usually quite dramatic.

Common symptoms of closed-angle glaucoma include:

  • Severe eye pain – often sudden and intense

  • Headache – typically one-sided and can be mistaken for a migraine

  • Blurred vision

  • Halos around lights – especially in dim lighting

  • Nausea and vomiting – often due to the pain

  • Red eye

  • Mid-dilated pupil – the pupil may look irregular and not respond normally to light

  • Decreased vision – rapidly progressing if untreated

This type of glaucoma happens when the drainage angle of the eye (between the iris and the cornea) closes abruptly, causing a sudden increase in intraocular pressure (IOP).

What to do:

This is an ocular emergency. If someone experiences these symptoms, they should seek immediate medical attention—ideally from an ophthalmologist or emergency room. Delayed treatment can result in permanent vision loss.

Do you want info on risk factors or how it differs from open-angle glaucoma?

 

 

 

 

Making the Diagnosis and Management_Geriatric

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