Browse categories and answer follow-up questions to refine your symptom profile.
Time-critical priorities
Immediate stabilization
Airway compromise from vomiting or altered mental status
If aspiration risk, airway protection pathway
If severe agitation, procedural sedation precautions
Hemodynamic instability
If shock, alternate diagnosis pathway
If hypertensive emergency features, concurrent management
Rapid pain and nausea control
Antiemetic to enable oral therapy tolerance
Analgesia without delaying ocular therapy
Vision threat recognition
Time-dependent risk of permanent vision loss
Hours-to-days window for optic nerve ischemic injury
Delay risk with normal neuro imaging
Emergent ophthalmology involvement
If not immediately available, initiate empiric IOP-lowering regimen
Transfer to facility with urgent laser capability
Immediate triggers for escalation
High-risk features
Severe ocular pain with decreased vision
Corneal haze with fixed mid-dilated pupil
Headache with nausea or vomiting
Very high intraocular pressure
If IOP markedly elevated with corneal edema, immediate multi-agent therapy
If IOP unavailable, treat based on classic exam
Secondary angle closure concern
If trauma, lens dislocation pathway
If uveitis, inflammatory angle closure pathway
Monitoring and goals
Therapeutic targets
Intraocular pressure reduction to symptom relief and corneal clearing
Recheck IOP after each therapy step when available
If IOP remains high after maximal medical therapy, urgent hyperosmotic and procedure pathway
Corneal clarity improvement
Enables definitive gonioscopy and laser
Reduces pain and photophobia
Avoid worsening pupillary block
Avoid mydriatic agents
Avoid anticholinergic antiemetics when alternatives exist
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.