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Ophthaproblem. Acute angle-closure glaucoma.

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VOL 46: FEBRUARY • FÉVRIER 2000❖Canadian Family Physician•Le Médecin de famille canadien 303

editorials

clinical challenge ❖ défi clinique

Answer on page 310

Dr Sharma is an Assistant Professor in the Departments of Ophthalmology and Epidemiology at Queen’s University in Kingston, Ont.Dr Cheung is Chief Resident in Ophthalmology in the Department of Ophthalmology at Queen’s University.

A 50-year-old man presents with pain, blurred vision, halos around lights, frontal headaches, and nausea and vomiting. The pain and blurred vision are localized to his left eye. He denies trauma of any kind.

The appearance of the eye is compatible with the patient having which of the following?

1. Viral conjunctivitis

2. Acute angle-closure glaucoma 3. Perforated globe

4. Blepharitis

Sanjay Sharma, MD, MSC, FRCSC John Cheung, MD

Ophthaproblem

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