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Ophthalmology General ab7f180f

A patient presents with h/o evening halos and occasional headache for some months. His examination shows normal IOP but shallow AC. He is in which stage of glaucoma?

A
Acute
B
Absolute
C
Prodrome
D
Constant instability
High-Yield Explanation
Five clinical stages are discernable in primary angle closure glaucoma (PACG): Prodromal stage: Patient sees coloured haloes due to high intraocular pressure (IOP) with some obscuration of vision Chronic instability stage: The intermittency of the prodromal stage is replaced by the regularity of attacks. Acute ACG stage: Acute attacks glaucoma Chronic ACG stage: The recurrent attacks of angle closure eventually lead to peripheral anterior synechiae that may permanently block the exit pathways Absolute glaucoma: It is the end result of untreated attacks ACG or chronic ACG. It results in a stony hard, painful, blind eye. Ref: Concise Textbook Of Ophthalmology By Sharma, 2006, Page 118.

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