Question

A 50-year-old with painful red eye and blurry vision has ciliary flush and photophobia; IOP 48 mm Hg. Diagnosis: acute angle-closure glaucoma. Best initial therapy while awaiting ophthalmology?

Accepted Answer

Topical beta blocker plus systemic carbonic anhydrase inhibitor

Answer

Systemic steroids

Answer

Pilocarpine only

Answer

Atropine drops

Answer

No therapy until ophthalmology arrives

Practice question

A 50-year-old with painful red eye and blurry vision has ciliary flush and photophobia; IOP 48 mm Hg. Diagnosis: acute angle-closure glaucoma. Best initial therapy while awaiting ophthalmology?