Clinical routine

History Taking

When performing history taking, special attention should be paid to below points.

• Episodes of angle closure?

Does patient have any earlier incidences of angle closure?

• Any known allergy to drug

Is there any drug the patient is allergic to?

• Pressence of Glaucoma which is presently treated with Miotics

Is the patient actually diagnosed with Glaucoma and then currently prescribed with Miotics?

• Systemic Drugs Medication

Is the patient currently on any systemic drug medication? E.g drugs for diabetes.

• Systemic Diseases/ Health Condition

Is the patient suffering from any systemic diseases e.g Diabetes / What is his current health condition? (Healthy , sick etc)

Signs and Symptoms of Acute Angle Closure Glaucoma

Symptoms:

Blurry Vision

Nausea + Vomiting

Pain

Signs:

Ciliary Flush

Elevated IOP

Fixed Semi-Dilated Pupil

Corneal Edema

Contraindications

• Narrow or Closed Anterior Chamber Angle

• Iris Supported Intra Ocular Lens

• History suggesting Angle Closure Glaucoma

General Clinical Routine