A 63-year-old man with hypertension controlled on metoprolol presents with progressive eye pain and blurred vision over 2 days. Vital signs show BP 168/94 mmHg, HR 58 bpm, RR 16, temp 37°C. Intraocular pressure is 32 mmHg (normal <21). Gonioscopy shows open angles. The ophthalmologist prescribes a muscarinic agonist that increases trabecular meshwork outflow by contracting the ciliary muscle. No corneal edema is noted. Which drug was most likely prescribed?
- A)Atropine
- B)Timolol
- C)PilocarpineGABARITO
- D)Phenylephrine
- E)Tropicamide
Explicação
Pilocarpine is a muscarinic agonist used in glaucoma. It contracts the ciliary muscle and sphincter pupillae, facilitating aqueous humor outflow through the trabecular meshwork and lowering intraocular pressure. Ver explicação completa e trilha adaptativa →