Glaucomatous crisis is an acute, rapidly developing condition with severe obstruction (blockage) of the corner of the iris of its angle, which does not have clear boundaries between the critical and erased condition. Crisis is observed in primary glaucoma with Schwalbe's nodules. In these cases, a kind of “bar bandage” is formed, the edge of which narrows the pupil.
Constriction of the pupil always makes a crisis worse because it impairs the flow of moisture through the trabecula (the texture in the eye that we see when we look at the eyes). If the condition is severely aggravated and left untreated, glaucoma may develop, accompanied by decreased retinal perfusion or extensive atrophy of the optic nerve, and even complete loss of vision.
In most cases, a crisis attack of a sinusoidal-glaucomatous nature is short-lived (from several hours to one or two days) and rarely lasts more than 48 hours. Attacks of glaucomatization usually occur at night. After a long-term partial blockade, due to frequent changes in positions, the occlusions acquire a variety of shapes with arbitrary flow of intraocular fluid. Sometimes only one pupil is blocked, the second develops goniosynesis due to the development of marginal obliteration of the UGA.
Clinical manifestations