A Case of Bilateral Acute Angle Closure Attack with Some Unusual Clinical Features

  • Pranisha Singh Department of Ophthalmology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu, Nepal http://orcid.org/0000-0001-8459-6515
  • A.P. Rijal Department of Ophthalmology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
  • A. Rizyal Department of Ophthalmology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
  • S. Karmacharya Department of Ophthalmology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
Keywords: Bilateral angle closure attack, intraocular pressure, Laser Peripheral Iridotomy

Abstract

Bilateral acute angle closure attack is a rare ocular emergency. Early diagnosis and immediate intervention can have a profound effect on patient’s visual outcome and ocular morbidity. A 70 year old female presented with vomiting about 7 to 8 episodes along with sudden diminution of vision in both eyes for last 3 days. Initially she was examined by physician where all the routine blood tests and upper GI endoscopy was advised which failed to reveal the cause. She was then referred to our department for ophthalmic evaluation. On ocular examination she was diagnosed as a case of bilateral acute angle closure attack with some unusual clinical features. After treatment with hyperosmotic agent, anti glaucoma drugs and Nd: Yag peripheral laser iridotomy, intraocular pressure came down to normal limits and the patient regained good vision.

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Author Biography

Pranisha Singh, Department of Ophthalmology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu, Nepal

Assistant Professor

Published
2019-11-26
Section
Case Reports