60yo male spends a lot of time in a dark room, gets extreme eye pain and blurred vision, n/v; hard, red eye is visualized and pupil is dilated and non-reactive to light. dx and tx?

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1. 60yo male spends a lot of time in a dark room, gets extreme eye pain and blurred vision, n/v; hard, red eye is visualized and pupil is dilated and non-reactive to light. dx and tx?