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{
    "pk": 1081,
    "title": "Bilateral Acute Angle-Closure Glaucoma: A Case Report of an Unusual Cause of Acute Headache in a Child",
    "subtitle": null,
    "abstract": "Introduction:\n Acute angle-closure glaucoma (AACG) is typically considered a disease of adulthood. However, AACG may occasionally be seen in children. The clinical presentation is similar to adults, including headache, vomiting, and eye pain. However, the etiology of angle closure in children is different and most often associated with congenital anterior segment abnormalities. A precipitating factor of AACG in children with previous established, anterior segment abnormalities is eye dilation, which may occur during routine ophthalmological examination with topical mydriasis, or physiologic mydriasis upon entering a dark room.\nCase Report:\n We describe a 5-year-old child with a history of severe prematurity and retinopathy of prematurity (ROP) presenting with bilateral AACG following a routine outpatient, dilated ophthalmological examination. While angle-closure glaucoma has previously been reported in cases of ROP, a bilateral acute attack of AACG following pupil dilation in regressed ROP has hitherto been unreported.\nConclusion:\n Given the association of ROP and AACG, it can be expected that as the survival rate of premature infants improves, the incidence of ROP and AACG may also increase. It is therefore prudent for the emergency physician to have AACG on the differential for pediatric patients with headache and eye pain.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "pediatrics"
        },
        {
            "word": "acute angle closure glaucoma"
        },
        {
            "word": "retinopathy of prematurity"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/126247k7",
    "frozenauthors": [
        {
            "first_name": "Breelan",
            "middle_name": "",
            "last_name": "Kear",
            "name_suffix": "",
            "institution": "Providence St. Joseph Hospital Orange, Department of Emergency Medicine, Orange, California",
            "department": "None"
        },
        {
            "first_name": "Claudia",
            "middle_name": "R.",
            "last_name": "Gold",
            "name_suffix": "",
            "institution": "CHOC Children’s Hospital, Department of Pediatric Emergency Medicine, Orange, California",
            "department": "None"
        },
        {
            "first_name": "Rahul",
            "middle_name": "",
            "last_name": "Bhola",
            "name_suffix": "",
            "institution": "CHOC Children’s Hospital, Department of Pediatric Emergency Medicine, Orange, California",
            "department": "None"
        }
    ],
    "date_submitted": "2021-09-10T01:21:33+02:00",
    "date_accepted": "2021-09-10T01:21:33+02:00",
    "date_published": "2021-09-10T01:22:24+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1081/galley/823/download/"
        }
    ]
}