Question

A woman presented with acute angle closure glaucoma of the right eye, photophobia, and stuff. The left eye corneal exam was normal. What is the most probable treatment?

1) Topical β-blocker
2) Oral carbonic anhydrase inhibitor
3) Intravenous acetazolamide
4) Surgical iridectomy

Answer 1

Acute angle closure glaucoma is typically treated with intravenous acetazolamide to rapidly decrease intraocular pressure and is often followed by a surgical iridectomy to prevent future occurrences. Option 4.

Step-by-step explanation:

A woman presenting with acute angle closure glaucoma of the right eye would most likely be treated with intravenous acetazolamide. Acetazolamide is a medication that inhibits carbonic anhydrase, which reduces the production of aqueous humor in the eye and can subsequently lower intraocular pressure. This medication is often used in acute cases to quickly decrease eye pressure before definitive treatments like surgical iridectomy option 4, are performed. An iridectomy would then be considered to create a new drainage path for aqueous humor to prevent future acute angle closure episodes.