A 35-year-old with sudden severe unilateral eye pain, halos around lights and nausea. Vision reduced; exam shows mid-dilated fixed pupil and cloudy co...

Question

A 35-year-old with sudden severe unilateral eye pain, halos around lights and nausea. Vision reduced; exam shows mid-dilated fixed pupil and cloudy cornea. What is the initial management?

Accepted Answer

Oral acetazolamide and urgent ophthalmology

Answer

Topical chloramphenicol and review

Answer

Oral prednisolone

Answer

Topical steroids alone

Answer

Reassure and safety-net

mrcem sba MCQ (SBA): Acute angle-closure glaucoma

A 35-year-old with sudden severe unilateral eye pain, halos around lights and nausea. Vision reduced; exam shows mid-dilated fixed pupil and cloudy cornea. What is the initial management?