Acute glaucoma attack

Patient presenting with blurring of vision one sided headache with nausea and vomiting.... Vision deteriorate from 6/12 To PL positive After active management intraocular pressure controlled.. but now vision not improving... What are further management for preventing vision because patient having one eye only.

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Lowering of iop to teens or single digit offers the best chance of protecting the remaining vision can be achieved by trabeculectomy , medically or laser. Psychosocial support to optimize remaining vision replace fear with hope Additional brimonidine eye drops has a role to help dieing cells. Vit B1B6 B12use is seen effective but try to keep IOP to single digit

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Left acute congestive glaucoma and right eye appears P hthisical In rare case a single attack may lead to abrupt loss of vision - glaucoma fulminans . Most likely unfortunately it is glaucoma fulminans

Glaucoma fulminans is the likely possibility. Prognosis is grave . But , brimonidine should be tried .

HLAUCOMS IS A BLINDING DESEASE IF ONE EYE PATIENT PT HAD VA OF THE ONLY SEEING EYE WHICH HAD VA OF 6/12WHICH HAD ATTACK OF AAC G THAT EYE SFTER CONTROLLING IOP SHOULD HAVE UNDERGONE LASER IRIDITOMY NOW IF CA HAS DROPPED TO PL I DO NOT THINK ONE CAN DO ANYTHING HOWEVER CONSULT GLAUCOMA EXPERT

Agree@Dr. Sujan Singh Sir Ji

Fundus evaluation Indirect ophthalmoscopy Will give further more details to diagnose the cause

Do VEP .or failing this check pupil reaction in slit lamp .... Prognosis is bad of course .but look for other morbidities like hypertension.

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