Bilateral Acute Angle-Closure Glaucoma: A Case Report of an Unusual Cause of Acute Headache in a Child

التفاصيل البيبلوغرافية
العنوان: Bilateral Acute Angle-Closure Glaucoma: A Case Report of an Unusual Cause of Acute Headache in a Child
المؤلفون: Claudia R Gold, Rahul Bhola, Breelan Kear
المصدر: Clinical Practice and Cases in Emergency Medicine
Clinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
بيانات النشر: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Pediatrics, medicine.medical_specialty, genetic structures, pediatrics, Glaucoma, Case Report, Emergency Nursing, medicine, Mydriasis, retinopathy of prematurity, Survival rate, business.industry, RC86-88.9, Incidence (epidemiology), Retinopathy of prematurity, Medical emergencies. Critical care. Intensive care. First aid, medicine.disease, eye diseases, acute angle closure glaucoma, Emergency Medicine, Vomiting, Etiology, sense organs, Presentation (obstetrics), medicine.symptom, business
الوصف: Introduction: Acute angle-closure glaucoma (AACG) is typically considered a disease of adulthood. However, AACG may occasionally be seen in children. The clinical presentation is similar to adults, including headache, vomiting, and eye pain. However, the etiology of angle closure in children is different and most often associated with congenital anterior segment abnormalities. A precipitating factor of AACG in children with previous established, anterior segment abnormalities is eye dilation, which may occur during routine ophthalmological examination with topical mydriasis, or physiologic mydriasis upon entering a dark room. Case Report: We describe a 5-year-old child with a history of severe prematurity and retinopathy of prematurity (ROP) presenting with bilateral AACG following a routine outpatient, dilated ophthalmological examination. While angle-closure glaucoma has previously been reported in cases of ROP, a bilateral acute attack of AACG following pupil dilation in regressed ROP has hitherto been unreported. Conclusion: Given the association of ROP and AACG, it can be expected that as the survival rate of premature infants improves, the incidence of ROP and AACG may also increase. It is therefore prudent for the emergency physician to have AACG on the differential for pediatric patients with headache and eye pain.
اللغة: English
تدمد: 2474-252X
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::47ad0b199e7d096b1d640ee2b1e02019
http://europepmc.org/articles/PMC8610455
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....47ad0b199e7d096b1d640ee2b1e02019
قاعدة البيانات: OpenAIRE