CEN Ocular Emergencies

Updated: Dec 29, 2019


Acute Angle Closure Glaucoma

o Aqueous humor can’t move into anterior chamber; increase in intraocular pressure (IOP), compression of CN 2 Optic Nerve; blindness within hours if left untreated.

o S/S: pain, decreased peripheral vision “tunnel vision”, halos around light, N/V, headache, reddened eye, dilated, fixed pupil, cloudy cornea, firm feeling globe, shallow chamber due to pressure.

o TX: HOB elevated, miotic drops (pilocarpine), topical beta blockers (timolol maleate), carbonic anhydrase inhibitors (acetazolamide), antiemetics, opioids.

o DC teaching: ophthalmology follow-up, no lifting greater than 5 pounds, avoid coughing/straining, do not lower head below waist.