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Pearl · 04 of 05

A painful red eye with haloes and a fixed mid-dilated pupil is angle closure until proved otherwise

Refer a suspected acute angle closure the same day.

Acute angle closure typically causes severe eye pain, headache, nausea, blurred vision with haloes around lights, a red eye with a hazy cornea and a mid-dilated, poorly reactive pupil. Intraocular pressure is high on measurement.

It is an emergency: arrange same-day ophthalmic care, and follow your local protocol for lowering pressure while awaiting definitive treatment.

  • Look for pain, nausea, haloes and a hazy cornea.
  • Check for a mid-dilated, poorly reactive pupil.
  • Measure intraocular pressure if equipment is available.
  • Arrange same-day ophthalmology review.

Why it matters

Delay can cause permanent optic nerve damage and vision loss.

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