The Painful Red Eye

A 52-year-old woman presents with severe eye pain and blurred vision. Explore the Differential Diagnosis for this ophthalmologic emergency.

Acute angle-closure glaucoma


A 52-year-old woman presented to the emergency department with a 24-hour history of severe pain and blurred vision in the left eye. A left eye exam revealed a mid-dilated pupil unresponsive to light, red conjunctiva, diminished visual acuity, and increased intraocular pressure. What is the likely diagnosis?

What is the most likely diagnosis?

Acute conjunctivitis
Acute angle-closure glaucoma
Acute orbital compartment syndrome
Ulcerative keratitis
Vitreous hemorrhage

Acute angle-closure glaucoma, Intraocular Pressure, Ocular Emergency, Ophthalmology, Red eye

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