Grand Rounds
  Most Recent Cases
  Dates of Case
  Type of Case
  Submit a Grand Round.
  Register with DJO to receive personalized updates.

If you're already a
member, please sign in.
A 53-year-old woman with a severe headache, bilateral eye pain, blurred vision, and photophobia
Digital Journal of Ophthalmology 2011
Volume 17, Number 3
August 28, 2011
DOI: 10.5693/djo.03.2011.05.002
Printer Friendly

Download PDF



Pedro Barros, MD | Department of Ophthalmology, Hospital Pedro Hispano, Porto, Portugal
Liliana Paris, MD | Department of Ophthalmology, Hospital Pedro Hispano, Porto, Portugal
Joana Martins, MD | Department of Ophthalmology, Hospital Pedro Hispano, Porto, Portugal
Paula Tenedorio, MD | Department of Ophthalmology, Hospital Pedro Hispano, Porto, Portugal
Examination
On arrival, her visual acuity was counting fingers in both eyes. Intraocular pressure (IOP) measured 45 mm Hg in the right eye and 49 mm Hg in the left eye by applanation tonometry. She had fixed pupils, conjunctival chemosis and injection, moderate corneal edema, markedly shallow anterior chambers with 360° iridocorneal touch peripherally and a 4.00 D myopic shift in both eyes. Gonioscopy revealed closed angles bilaterally with a flat iris configuration. The cup/disc ratio was 0.2 in both eyes.
top