EM@3AM: Acute Angle Closure Glaucoma

A 67-year-old male with a past medical history of hypertension presents with 6 hours of acute onset right eye pain and photophobia with decreased visual acuity and associated nausea and headache. He reports the pain began while watching television in the dark. He has decreased visual acuity and elevated intraocular pressure in the right eye. What is the diagnosis?

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