A patient has normal anterior chamber and hazy cornea in one eye and shallow ant chamber and miotic pupil in fellow eye. the diagnosis is :
**Core Concept**
The question tests the understanding of **acute angle-closure glaucoma** and its distinguishing features from other ocular conditions. It involves the **anterior chamber**, **cornea**, and **pupil**, which are crucial in diagnosing glaucoma.
**Why the Correct Answer is Right**
In acute angle-closure glaucoma, one eye typically presents with a **shallow anterior chamber** and a **miotic pupil** due to increased intraocular pressure causing iris ischemia and subsequent pupil constriction. The fellow eye may have a **normal anterior chamber** but could exhibit signs of glaucoma in the form of **corneal edema** (hazy cornea) due to elevated intraocular pressure.
**Why Each Wrong Option is Incorrect**
**Option A:** This choice is incorrect because it does not align with the symptoms described for the condition affecting both eyes.
**Option B:** Similarly, this option does not match the clinical presentation of acute angle-closure glaucoma.
**Option D:** This choice is also incorrect as it fails to accurately describe the condition affecting the patient's eyes.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that **acute angle-closure glaucoma** is an ocular emergency requiring immediate treatment to prevent permanent vision loss. The condition can be differentiated from other forms of glaucoma by its rapid onset of symptoms, including severe eye pain, blurred vision, and the physical findings of a shallow anterior chamber and miotic pupil.
**Correct Answer:** D. Acute angle closure glaucoma in one eye and acute angle closure glaucoma in fellow eye with corneal edema.