What is the management for acute angle-closure glaucoma?

• A. Oral antibiotics.
• B. Ophthalmology consult - EMERGENCY.
• C. Topical steroids.
• D. Observation.

Answer: (B)

Acute angle-closure glaucoma is a true ocular emergency where rapid reduction of intraocular pressure and urgent specialist assessment are essential to prevent permanent vision loss. The main concept is that immediate expert evaluation is required to both lower the pressure quickly and arrange definitive treatment to relieve the blockage of aqueous outflow.

Why the best answer fits: An emergency ophthalmology consult ensures prompt, appropriate pressure-lowering therapy and definitive management (often laser peripheral iridotomy or surgical iridectomy) to reopen the drainage angle. Early specialist involvement is crucial because initial medical steps alone are not sufficient to prevent ongoing optic nerve damage; the ophthalmologist can coordinate systemic and topical medications (for example, acetazolamide and beta-blockers to reduce production and pressure, possibly hyperosmotics if needed) and proceed with definitive intervention.

Why the other choices don’t fit: Oral antibiotics address infection, not elevated intraocular pressure. Topical steroids may help inflammation but do not lower IOP acutely. Observation misses the urgency and risk of rapid vision loss. Immediate ophthalmology involvement is the appropriate, action-focused management for this condition.