What is the dx in the eye? ... There is ciliary injection and a semi-dilated irregular pupil; the patient complains of nausea and local pain
Acute angle closure glaucoma usually presents with sudden onset of blurred vision and pain, with nausea and vomiting due to vagal stimulation. Acutely, there is corneal microcystic oedema, lid oedema, conjunctival hyperaemia, circumcorneal injection, with a fixed mid-dilated, often oval pupil. There may also be a relative afferent papillary defect, with a shallow anterior chamber, often with an inflammatory reaction.