Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents to ER with sudden, excruciating eye pain in the right eye, accompanied by blurred vision, colored halos around lights, severe frontal headache, nausea, and vomiting. Onset occurred while sitting in a dark movie theater.
Clinical Examination Findings
In agonizing pain, clutching the right eye. Nauseous, actively retching.
Treatment Protocol
True Ophthalmic Emergency. Immediate administration of topical Beta-blocker (Timolol), Alpha-agonist (Brimonidine), and Carbonic Anhydrase Inhibitor (Dorzolamide). IV Acetazolamide 500mg given. Scheduled for emergent Laser Peripheral Iridotomy (LPI) OU once cornea clears.