<prompt> Acute congestive glaucomaPin point pupilVertically oval mild dilated pupilHutchinsons pupilArgyll-Robertson pupil  <response>: i.e. Vertically oval, mild dilated pupil: 229-Khurana 4th Pupil is semi dilated, vertically oval and fixed. It is non reactive to both light and accommodation - seen in Acute congastive glaucomaClinical features of Acute congestive glaucomaSymptoms Pain - sudden onset of very severe pain, radiates along the branches of 5th nerve Nausea, vomiting and prostrations Rapidly progressive impairment of vision, redness, photophobia, and lacrimation Past histoiy - intermittent subacute attackSigns Lids - oedematous Conjunctiva - chemosed and congested Cornea - oedematous and insensitive Anglo of AC-is completely closed Iris may be discoloured IOP is markedly elevated between 40 and 70 mm Hg Optic disc is oedematous and hyperaemic Fellow eye shows shallow anterior chamber and a narrow angle latent angle closure glaucoma 