A 30-year-old patient presented with a miotic pupil with raised IOP and normal AC in one eye, and a hazy cornea with shallow AC in the fellow eye. The most likely diagnosis is
Acute anterior uveitis Features Acute anterior uveitis Acute congestive glaucoma Endophthalmitis Onset Pain Coloured halo Congestion Pupil AC Media (cornea) lOP Iris Vision Usually gradual Moderate Absent Deep ciliary Miotic (small and irregular) May be deep Hazy due to KPs, aqueous flare and pupillary exudates Usually normal Muddy Slightly impaired Sudden Severe Present Deep ciliary Large and veically oval Very shallow Hazy due to edematous cornea Raised Oedematous Markedly impaired Gradual Severe Present Circum corneal congestion Yellow reflex due to purulent exudation in Vitreous Hypopyon Oedematous, cloudy and ring Infiltration Early stage raised later decreases Muddy Marked loss of Vision
Acute congestive glaucoma
Chronic simple glaucoma
Acute anterior uveitis
Endophthalmitis