Vomiting and glaucoma
Gordon-Bennett et al.,in their article 'Misdiagnosis of angle closure glaucoma', were right to include vomiting amongst the usual symptoms and to point out that the presentation may be 'more systemic than ocular'.
I heard of an anaesthetist who diagnosed glaucoma when he checked the pupils of a patient undergoing a laparotomy for unexplained vomiting. The hapless surgeon realised, too late, that an iridectomy would have been the better intervention.
A.R.Elkington, Emeritus Professor of Ophthalmology, University of Southampton.
Competing interests: None declared
Competing interests: No competing interests