Intended for healthcare professionals

Rapid response to:

Practice Lesson of the week

Misdiagnosis of angle closure glaucoma

BMJ 2006; 333 doi: (Published 30 November 2006) Cite this as: BMJ 2006;333:1157

Rapid Response:

Vomiting and glaucoma

Dear Sir,

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

06 December 2006
A R Elkington
Emeritus Professor of Ophthalmology
University of Southampton