In this report, OCT demonstrates that in APACG the retinal swelling involves all layers of the retina. 1 Its high resolution permits the imaging of fine structures within the retina. 4 Optical coherence tomography is a diagnostic imaging tool that can perform micron resolution imaging in the eye. Posterior segment pathologic findings reported after APACG include irreversible optic nerve damage, anterior ischemic optic neuropathy, 2 vitreous hemorrhage, 3 and ocular decompression retinopathy. The OCT (OCT 3 Zeiss-Humphrey Systems, Dublin, Calif) of the left disc showed swelling with adjacent thickening of the retina in the papilla-macula region ( Figure 1). Bilateral laser peripheral iridotomy was performed. This was swollen and hyperemic with peripapillary flame hemorrhages. The left cornea had cleared 12 hours after initial examination to allow a view of the left disc. Six hours after initial examination, her IOP was 12 mm Hg. The IOP was lowered with intravenous acetazolamide, topical timolol maleate, pilocarpine hydrochloride, and brimonidine tartrate. The intraocular pressure (IOP) was 14 mm Hg OD and 54 mm Hg OS. The left eye had conjunctival injection, corneal edema, and a shallow anterior chamber. Her visual acuity was 20/30 OD and hand motion OS with a left relative afferent pupillary defect and mid-dilated pupil. She had no previous episodes of eye pain. Shared Decision Making and CommunicationĪ 64-year-old Chinese woman had pain, blurring of vision, and redness in the left eye for 5 days.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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