Question

A patient with severe acute closed-angle glaucoma presents with headache, blurred vision, and a mid-dilated pupil. According to UK guidelines, which medication is first-line to lower intraocular pressure urgently?

Accepted Answer

Oral carbonic anhydrase inhibitor (acetazolamide) plus topical therapy

Answer

Topical beta-blocker (timolol) alone

Answer

Pilocarpine drops alone

Answer

IV mannitol

Answer

Topical steroid drops

Practice question

A patient with severe acute closed-angle glaucoma presents with headache, blurred vision, and a mid-dilated pupil. According to UK guidelines, which medication is first-line to lower intraocular pressure urgently?