Question

A 70-year-old with elevated intraocular pressure on routine screening is found to have early optic disc changes. According to NICE guidelines what is the first-line pharmacological treatment for primary open-angle glaucoma?

Accepted Answer

Topical prostaglandin analogue e.g. latanoprost

Answer

Topical beta-blockers e.g. timolol

Answer

Laser trabeculoplasty as first-line

Answer

Oral carbonic anhydrase inhibitors

Answer

Surgical trabeculectomy for all

Practice question

A 70-year-old with elevated intraocular pressure on routine screening is found to have early optic disc changes. According to NICE guidelines what is the first-line pharmacological treatment for primary open-angle glaucoma?