Acute glaucoma

Data gathering

  • Red flags – contact lenses, severe eye pain, sudden loss of vision, trauma, headache/vomiting/fever/rash
  • Others – vision, discharge, photosensitive, floaters
  • Examine – Inspection, Acuity, Fields, Reflexes, Ophthalmoscopy, eye Movements, temporal palpation


Clinical management

  • Explanation
    • Pressure inside the eye becomes too high very quickly. It is an emergency because if it is not treated quickly, it can lead to permanent loss of vision.
    • It is due to a sudden blockage of drainage of aqueous humour fluid out of your eye. As more fluid continues to be made, the pressure inside your eye rises quickly.
  • Treatment
    • Refer to A+E – Eye casualty