This guideline last updated 07/05/2022 9:31:41

Differential diagnosis

• Neovascular glaucoma
• Phacomorphic glaucoma
• Clilio-lenticular block (aqueous misdirection syndrome)

Possible management by Optometrist

Treatment

• 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