Question

A 54-year-old woman presents with acute onset of unilateral painful red eye, decreased visual acuity, and seeing halos around lights. Examination shows a mid-dilated, non-reactive pupil and elevated intraocular pressure. Which is the most appropriate initial management step?

Accepted Answer

Start topical beta-blocker and systemic carbonic anhydrase inhibitor and urgently refer to ophthalmology.

Answer

Start high-dose oral corticosteroids and schedule outpatient follow-up.

Answer

Start topical antibiotic drops and warm compresses only.

Answer

Advise rest and artificial tears.

Answer

Immediately perform laser peripheral iridotomy in the emergency department without ophthalmology support.

Practice question

A 54-year-old woman presents with acute onset of unilateral painful red eye, decreased visual acuity, and seeing halos around lights. Examination shows a mid-dilated, non-reactive pupil and elevated intraocular pressure. Which is the most appropriate initial management step?