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nitol administration, the IOP was 31 mm Hg in the right eye and 33 mm Hg in the left eye. Four hours later she was discharged with a prescription for topical brimonidine tartrate 0.2% twice daily, timolol maleate 0.5% twice daily, and prednisolone acetate 1% four times daily in both eyes. She was experiencing no major discomfort. The IOP on discharge was 27 mm Hg in the right eye and 29 mm Hg in the left. Four days later visual acuity had improved to 20/30 in both eyes. The IOP was 16 mm Hg in the right eye and 17 mm Hg in the left, and the anterior chambers were deeper, with gonioscopy showing angle structures bilaterally. B-scan and ultrasound biomicroscopy revealed improvement of the uveal effusions and ciliary body swelling, respectively (Figure 2). Nine days after the episode the visual acuity returned to 20/20 in both eyes, the IOP was 13 mm Hg in the right eye and 14 mm Hg in the left eye, and the uveal effusion and ciliary body swelling had resolved completely (Figures 3–4).

A 53-year-old woman with a severe headache, bilateral eye pain, blurred vision, and photophobia