الفهرس 
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Abstract
significant number of individuals worldwide are at risk of blindness from angle closure glaucoma. Acute angle closure glaucoma constitutes a major problem which causes sudden ocular pain, halos around lights severe headache, redness, blurred or sudden decreased vision, fixed mid dilated pupil, very high intraocular pressure (>30
mmHg), nausea and vomiting . These patients need urgent treatment The aim of the study is to evaluate the outcome of implementing
immediately standardized nursing care for patients with ”Acute angleclosure glaucoma. Quasi-experimental research design was used to conduct this study. This study was carried out in eye casualty clinic at Assuit University Hospital (40 case) and eye casualty clinic for Ministry of Health at Assuit Ophthalmic Hospital (40 case).
Both groups have been assessed for pain related to increased
intraocular pressure, sensory perceptual alteration: visual related to increased intraocular pressure and decreased visual acuity, manifestations
of acute closed angle glaucoma as severe pain and be felt as a severe headache, redness, blurred or reduced vision, nausea, and vomiting. Then
patient was assessed immediately after the diagnosis of acute primary angle closure, the patient should receive the following medications as doctor order, providing no contraindications exist: One DROP of 0.5%
timolol (steroid Azopt), One DROP of 2% pilocarpine,500 acetazolamide orally One. While attempting to break an angle closure attack, the
clinician should check intraocular pressure readings every 15-30 minutes.A structured interview questionnaire sheet was designed to collect data. Tow tools were used in this study; First tool include patient’s biosocio
demographic and clinical data, vital signs, laboratory investigation. second tool include assess each patient’s eye or assessing of the ability of- 91 -the patient to maintain acute angle closure glaucoma to determine degreepain within and around eye visual loss , nausea and vomiting, red eye,headache , papilla edema.The majority of the studied patients (95%) were from rural areas and two-thirds of patients (62.5%) were females. All of the patients in this study included complained of red eye, headache, halos around lightand nausea and vomiting at admission. In addition, (17%) of the study patients complain relived at discharge. Regarding previous ocular history(92%) of our patients had latent narrow angle glaucoma because the acute attack started, and (87.5%) of the patients are diabetic. According to IOP and pain, it was found that there was a statistical significant difference between studied groups right and left eye.It was observed that the majority of the studied groups (82.5%) had satisfactory Visual acuity. it was found that there was a statistical significant difference between studied groups in Right, Left and Bilateral eye to Medical data (P=0.121). That three quarter (75%) had satisfactory knowledge of acute angle closure glaucoma while only 25% of the study sample had satisfactory knowledge about it…,more than two third(67.5%) of studied patient were improved. There was significantdifference between knowledge and socio-demographic characteristics (Pvalue0.167).It could be concluded that the patient had satisfactory knowledge.