Closed Angle Glaucoma Treatment

Question 1

Rapid reduction of IOP

Acute

Answer 1

Systemic hyperosmotic diuretics in prep for surgery (IV mannitol)

Question 2

Before surgery to induce miosis

Answer 2

Pilocarpine

Question 3

Reduce aqueous humor production

Answer 3

B-blockers

a2-Agonists

Carbonic anhydrase inhibitors

Question 4

Contraindicated drugs

Answer 4

Antimuscarinic drugs

Sympathomimetic

Tricyclics antidepressants and serotonin-NE reuptake inhibitors (antimuscarinic action too)