Clinical Case Database / Category: Patient Management

An emergency presentation of acute angle closure (AAC)

Publication details

Richard Dickson-Lowe BSc (HONS), MBChB, Joseph Keenan FRCSEd, FRCOphth
Foundation Years Journal, volume 6, issue 10, p.6 (123Doc Education, London, November 2012)


This article gives a brief history of a case of acute angle closure (AAC) presenting to the Medical Assessment Unit (MAU). This is followed by a discussion about terminology, demographics and predisposing factors, history taking (clinical signs and symptoms), eye examination, differential diagnoses and management strategy. In particular, important findings in a patient presenting with AAC that should not be missed and will aid with the decision process of ‘admit or discharge’ will be discussed.

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Richard Dickson-Lowe BSc (HONS), MBChB

Foundation Year 1 at Royal Surrey County Hospital
Qualified from Warwick Medical School and is working towards his MRCS.

Joseph Keenan FRCSEd, FRCOphth

Consultant Ophthalmic Surgeon at Royal Surrey County Hospital


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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