رجل عمره ٦٠ سنة جاء بألم شديد في عينه اليمنى مع صداع وقيء، ورؤية ضبابية وهالات حول الأضواء، والعين حمراء والحدقة متوسعة قليلاً. ما الأرجح؟

A 60-year-old has severe right eye pain with headache, vomiting, blurred vision and halos around lights; the eye is red and the pupil mid-dilated. What is most likely?

1. Chronic dry eye of older age
2. Simple bacterial conjunctivitis
3. Acute angle-closure glaucoma
4. Migraine with visual aura

Answer: C) Acute angle-closure glaucoma. Acute angle-closure glaucoma raises eye pressure rapidly, causing severe pain, vomiting and halos, and can blind within hours. Urgent referral for pressure-lowering drugs and laser is needed.