[Atypical postattack symptoms in closed-angle glaucoma]

Abstract

The patient, a woman of 67 years old, has been diagnosed and treated about 19 years for glaucoma with open angle. After a leg fracture, she had great ocular aches at the left eye, perikeratic congestion and a great diminution of the eye-sight. After the application of the orthopaedic cure and of the general sedatives she went to the oculist who established the diminution of the eyesight at the left eye at 1/500 with synekies in semi-mydriasis and ocular pressure of 12 mm Hg at both eyes. She was hospitalised with diagnosis Uveitis at the left eye and the instillation with mydriatics improved the eye-sight. The patient presented glaucoma with closed angle after attack phase at both eyes for which the basal iridectomy is used. It is shown the importance of anamnesis in glaucoma with closed angle and the difficulties in diagnosis that can occur sometimes in glaucoma with closed angle.