Optometry Practice Test & Exam Prep | United Kingdom

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A 68-year-old female presents to your optometry clinic with sudden severe right ocular pain, blurred vision, halo around lights, and nausea. Examination shows a fixed mid-dilated pupil, corneal edema, and an intraocular pressure (IOP) of 48 mmHg in the right eye. What is the immediate initial optometric management step prior to emergency hospital referral?

Instill topical pilocarpine 2% and timolol 0.5% (if not contraindicated) and arrange emergency same-day ophthalmology admission Instill topical cyclopentolate 1% to dilate the pupil and relieve ciliary spasm Perform immediate YAG laser peripheral iridotomy in the primary care clinic Advise the patient to lie flat in a dark room and re-evaluate IOP in 24 hours

Correct Answer:

Instill topical pilocarpine 2% and timolol 0.5% (if not contraindicated) and arrange emergency same-day ophthalmology admission

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