The patient suffers from acute angle closure glaucoma, and pilocarpine would be appropriate to treat this patient. Mydriatics (ie, atropine and homatropine) are contraindicated in treating acute glaucoma. Acetazolamide and mannitol are appropriate adjuncts to therapy (oral or intravenous administration for acetazolamide, intravenous administration for mannitol), but these agents are not for topical use. Other agents to administer before definitive surgical therapy can be provided include topical ß-blockers and topical corticosteroids.
