After initial treatment for AACG, when should intraocular pressure be rechecked?

After initial treatment for AACG, when should intraocular pressure be rechecked?

• A. Within 15 minutes
• B. In 1 hour
• C. In 24 hours
• D. In 1 week

Answer: (B)

The test is about when to reassess pressure after starting treatment for acute angle-closure glaucoma to verify the therapy is working and to decide on next steps. After initiating therapy, IOP often responds quickly but not instantly across all pathways, so checking around one hour allows you to see the true effect of the medications and catch any persistent pressure elevation that would require escalation or urgent intervention. Checking too soon, like within minutes, may not reflect the full response, while waiting 24 hours or a week delays crucial decisions and increases the risk of optic nerve damage. Thus, rechecking in about one hour is the best practice.

The test is about when to reassess pressure after starting treatment for acute angle-closure glaucoma to verify the therapy is working and to decide on next steps. After initiating therapy, IOP often responds quickly but not instantly across all pathways, so checking around one hour allows you to see the true effect of the medications and catch any persistent pressure elevation that would require escalation or urgent intervention. Checking too soon, like within minutes, may not reflect the full response, while waiting 24 hours or a week delays crucial decisions and increases the risk of optic nerve damage. Thus, rechecking in about one hour is the best practice.