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Management of acute angle closure glaucoma
| If it is not possible to get the patient to hospital immediately, give acetazolamide 500 mg intravenously and instil pilocarpine 4% in the eye to constrict the pupil |
| In hospital |
| • Bring down intraocular pressure with drugs |
| • Give analgesia and antiemetic if required |
| • Make a hole in the peripheral iris, either with a laser or surgically, to restore aqueous flow (peripheral iridotomy) |
| • Treat other eye similarly as a prophylactic measure |
