Read through the scenario below, think about what you would do and then check our expert advice to see if we agree.
I often see older patients who have narrow anterior chamber angles on van Herick assessment. I worry about triggering an acute angle-closure attack if I dilate them, but I also do not want to miss peripheral retinal or optic nerve pathology. Should I dilate a patient when the angle is narrow?
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These cases are based on member calls or emails made to our clinical advisers. We do not share any personal details of those seeking advice and have modified the cases to ensure confidentiality. This clinical file is intended to help members understand how the existing Guidance for Professional Practice (GfPP) can be applied in everyday practice, this clinical file is not intended as supplementary or additional annex to the GfPP.
If you have a question or need advice, you can contact the College's clinical advisers during office hours.