Angle Closure from SCH

This 78 year-old man awoke with acute pain in the right eye and an intraocular pressure of 61 mmHg. His visual acuity was light perception only. He has a shallow anterior chamber and a mid-dilated pupil with corneal edema. This patient has a posterior chamber intraocular lens and his fellow eye has a very deep angle (D40R). On ultrasound examination he was found to have a very large super choroidal hemorrhage. The patient has pre-existing macular degeneration with a neovascular membrane and is on Coumadin.