Bilateral Acute Angle-Closure Glaucoma: A Case Report of an Unusual Cause of Acute Headache in a Child
العنوان: | Bilateral Acute Angle-Closure Glaucoma: A Case Report of an Unusual Cause of Acute Headache in a Child |
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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 |
تدمد: | 2474252X |
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