Red congested painful eye with mild dilated vertical oval pupil is seen in:(AIIMS Nov 2013)
|D||Acute congestive glaucoma|
1. In acute closed angle glaucoma a history of haloes or intermittent blurring may be elicited before the acute attack.
2. Ocular inflammation leads to pain, redness and blurred vision.
3. Signs include raised IOP which may be as high as 70 mmHg, circumcorneal congestion, corneal edema, vertically oval and partially dilated pupil because sphincter paralysis occurs at 3 O'clock and/or 9 O'clock position, Glaukomflecken, i.e. anterior subcapsular lens opacities caused by foci of cortical fiber necrosis,
4. Fellow eye characteristically shows shallow anterior chamber.