Question

Drug used in acute congestive glaucoma are:

• A. Atropine
• B. Pilocarpine
• C. Acetazolamide
• D. Both B & C

Hint:

Lower IOP by reducing aqueous and constricting the pupil - avoid any mydriatic.

Answer 1

The Correct Option is D

Step 1: Acute congestive glaucoma is the same as acute angle closure glaucoma, an emergency caused by a sudden rise in intraocular pressure (IOP) when the iris blocks aqueous outflow at the angle.
Step 2: Treatment aims to lower IOP rapidly and reopen the angle. Acetazolamide, a carbonic anhydrase inhibitor, reduces aqueous production and lowers IOP. Pilocarpine, a miotic, contracts the pupil to pull the iris away from the angle and restore drainage.
Step 3: Because both pilocarpine and acetazolamide are used, the answer is Both B & C.
Step 4: Atropine is wrong - it is a mydriatic that dilates the pupil and can precipitate or worsen angle closure, so it is contraindicated here.