Acute angle closure glaucoma misdiagnosed as sinusitis

Pract Neurol. 2023 Sep 7:pn-2023-003864. doi: 10.1136/pn-2023-003864. Online ahead of print.ABSTRACTA 69-year-old woman developed severe right suprabulbar pain with blurred right-sided vision. There were no haloes around lights, photophobia, nausea or vomiting. Investigations in the emergency department excluded a posterior communicating/internal carotid artery aneurysm. However, she did not have an ophthalmological assessment and the initial diagnosis was of sinusitis-related headache. An urgent ear, nose and throat assessment found no abnormality, but a local ophthalmologist subsequently diagnosed and managed the patient's acute angle closure crisis. Periocular pain always deserves detailed assessment with an accurate history, visual acuity assessment and intraocular pressure measurement.PMID:37679039 | DOI:10.1136/pn-2023-003864
Source: Practical Neurology - Category: Neurology Authors: Source Type: research