7th July 2021

A 68-year-old woman attends A&E, complaining of a painful right eye

A 68-year-old woman attends A&E, complaining of a painful right eye. This came on a couple of hours ago, and she also has a headache and feels sick – saying she “feels rotten”. Her temples feel sore to the touch, and she keeps rubbing them. She also reports that when she looks into the light, “strange rings” surround it – she has a history of migraines, but they are never this bad. On examination, her right eye is visibly reddened, and the pupil of that eye is abnormal.

Which THREE of the following features would suggest a diagnosis of acute angle-closure glaucoma?  Select THREE options only.