Glaucoma · NEET PG Preparation Ophthalmology

A 70-year-old man with primary open-angle glaucoma is started on a topical eye drop to lower his intraocular pressure. At his follow-up visit, he com…

Practice question from Glaucoma (NEET PG Preparation Ophthalmology), with the correct answer and a step-by-step solution.

easy · MCQ · Q-9974E6

A 70-year-old man with primary open-angle glaucoma is started on a topical eye drop to lower his intraocular pressure. At his follow-up visit, he complains of darkening of the iris color, lengthening and thickening of his eyelashes, and hyperpigmentation of the periocular skin. Which medication was most likely prescribed?

  1. A.Timolol
  2. B.Brimonidine
  3. C.LatanoprostCorrect answer
  4. D.Dorzolamide

Solution

Prostaglandin analogues (such as latanoprost, travoprost, bimatoprost) increase uveoscleral outflow. Their well-known side effects include increased iris pigmentation (heterochromia), hypertrichosis (growth and darkening of eyelashes), periocular skin darkening, and conjunctival hyperemia.

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