A 65-year-old man is brought to the emergency department because of the sudden onset of severe right eye pain, blurred vision, nausea, and vomiting. He has had an upper respiratory tract infection for the past 2 days which developd an allergic eye symptoms for which he used over-the-counter eye drop to treat his symptoms,. Examination shows a rock-hard, injected right globe and a fixed, mid-dilated pupil on the right. Gonioscopy shows that the iris meets the cornea at an angle of 10° (N = 20-45°). Which of the following medications was most likely used by this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: Acute angle-closure glaucoma occurs when the space between the cornea and iris is narrowed, limiting the flow of aqueous humor out of the anterior chamber and raising pressure in the eye.  Medications that cause pupillary dilation (eg, alpha-adrenergic agonists, anticholinergics) can trigger acute angle-closure glaucoma

A 65-Year-Old Man Is Brought to the Emergency Department Because