Acute Glaucoma
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Acute glaucoma usually occurs in people who are known to have the chronic disease but it may present for the first time before the diagnosis has been made. There is diurnal variation of IOP that is highest in the early morning
Risk factors include:
- Older age
- Family history of acute glaucoma
- Shallow anterior chamber (check other eye)
- Drugs with anticholinergic actions like tricyclic antidepressants and antispasmodics or anticholinergic eye drops. There are many reports of glaucoma triggered by nebulized anticholinergic and beta-agonist medications. Intranasal cocaine for nasal procedures (and no doubt for recreation) has caused acute attacks, as has paroxetine.
- Hypermetropia
- Diabetes
- Dim lighting, emotional upset (dilatation of pupils exacerbates drainage block).
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