Table 1 Algorithm for management of elevated intraocular pressure

≤ 25

None

As per protocol schedule

>25 but <30

Single topical ocular hypotensive

Within 6 weeks^*

≥ 30 but <35

Dual topical ocular hypotensive

Within 6 weeks

≥ 35

Oral administration of acetazolamide 500 mg and dual therapy (recheck intraocular pressure within 2 hours)

After 2 hours:

1. Intraocular pressure <35 mmHg – oral administration of Diamox 250 mg SR bd 5 days + dual topical therapy F/U 1 week

2. Intraocular pressure ≥35 mmHg – same day glaucoma service input and/or consultant VR input