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January 1988

Acute Angle Closure Glaucoma in Nonperforating Blunt Trauma

Author Affiliations

Levittown, Pa

Arch Ophthalmol. 1988;106(1):19-20. doi:10.1001/archopht.1988.01060130021013

To the Editor.  —I recently saw an unusual complication of blunt ocular trauma.

Report of a Case.  —An 18-year-old man presented to the emergency room with orbital pain and blurry vision one hour after blunt trauma to his right eye. The patient denied diplopia, his medical and ocular histories were unremarkable, and he had never worn eyeglasses.Examination disclosed an uncorrected distance visual acuity of counting fingers in the right eye and 20/20 OS. The uncorrected near visual acuity (at 14 in) was J 1 in the right eye and J 1 in the left eye. Extraocular motility was full. Pupils were round and their diameters were 4 mm in the right eye and 3 mm in the left eye. There was no afferent defect. The right eyelids were moderately swollen and ecchymotic. Slit-lamp examination of the right eye disclosed subconjunctival hemorrhage, a clear cornea, closed angle approach with central

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