Prior to referral, commence first aid treatment with a drop of pilocarpine 2% eye drops in blue eyes
(for brown eyes use a drop of pilocarpine 4% eye drops)
PoM Give a single dose of 500 mg oral acetazolamide (Diamox)
Use plain preparation of Diamox (avoid slow release formulation)
Do not give if patient vomiting
Do not give if systemic contraindication
Advice
Emergency referral to ophthalmology required
Management Category
Emergency referral to ophthalmology
Possible management by Ophthalmologist
Intensive topical ocular hypotensive therapy
Systemic ocular hypotensive therapy
Peripheral iridotomy
Lens extraction
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decision support and is intended for use by ophthalmic healthcare professionals.
The Website is not intended for use by the general public and does not replace the advice of a healthcare professional.
Members of the public should seek advice directly from their optometrist.
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at https://www.college-optometrists.org/clinical-guidance/clinical-management-guidelines.
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management by optometrists (treatment and advice), management category and possible management by ophthalmologists.
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