Glaucoma Management

Question 1

Angle Closure Management

Answer 1

initial Mx:
- Direct parasympathomimetic (Pilocarpine)
- Topical B Blocker (Timolol)
- Topical alpha 2 agonist (Apraclonidine)
IV Acetazolamide

Definitive mx

• Laser irridotomy

Question 2

Open Angle Management

Answer 2

1st line: PG analogue (lantanoprost)
2nd Line: BB (Timolol) OR Carbonic Anhydrase Inhibitor (dorzolamide)
OR Sympathomimetic like A2 agonist (Brimonidine)