What is the medical treatment of the affected eye with primary glaucoma?

• A. Timolol Twice Daily And Travoprost Nightly
• B. Alternating Drops Of Latanoprost And Dorzolamide Every 5 Minutes For 30 Minutes And Recheck IOP
• C. Pilocarpine Every Hour For 6 Hours
• D. Oral Acetazolamide Every 6 Hours

Answer: (B)

In acute glaucoma management, the priority is rapid reduction of intraocular pressure in the affected eye to protect the optic nerve. The best approach shown here uses a rapid, multi-mechanism topical regimen and a prompt reassessment to guide further steps. Latanoprost helps by increasing outflow, while dorzolamide reduces production of the aqueous humor. Giving them in quick succession over about a half hour provides a brisk, synergistic drop in pressure and creates a concrete point to recheck IO pressure to judge response and next actions.

This approach is preferred over longer-term plans or sole systemic therapy because it targets the eye directly and yields a quicker, measurable effect. Other options either rely on medications with slower onset, use systemic drugs without immediate local effect, or involve dosing plans that aren’t aimed at rapid IOP reduction or immediate reassessment.