What other significant symptoms may accompany acute glaucoma aside from the ocular findings?

In the context of acute glaucoma, significant symptoms beyond the ocular findings can include diaphoresis and nausea. These systemic symptoms often accompany the intense pain that characterizes acute glaucoma due to intraocular pressure increases. The body's response to the extreme pain and stress can lead to autonomic symptoms, such as sweating (diaphoresis) and gastrointestinal distress (nausea).

In acute glaucoma, the pressure builds rapidly within the eye, which can result in severe headaches, photophobia, and visual disturbances alongside the ocular symptoms, such as a cloudy cornea or a mid-dilated pupil. While it may seem that headaches and dizziness could also be significant symptoms, the particular combination of diaphoresis and nausea is more commonly associated with the body's acute response to the pain and tension.

Scotomas, which are specific areas of lost or impaired vision, and periorbital edema, while they may occur in various ocular conditions, are not as closely linked to the systemic presentation of acute glaucoma as diaphoresis and nausea are. The presence of systemic symptoms indicates a more extensive and acute response to the intraocular pressure crisis, reinforcing the diagnosis of acute glaucoma and the immediate need for intervention.