<prompt> A 55 year old female comes to the eye casualty with history of severe eye pain, redness and diminution of vision. On examination the visual acuity is 660, there is circumcorneal congestion, corneal oedema and a shallow anterior chamber, Which of the following is the best drug of choice-Atropine ointmentI.V. MannitolCiprofloxacin eye dropsBetamethasone eye drops.  <response>: B i.e. IV Mannitol Immediate treatment of acute congestive glaucoma consists of Acetazolamide IV- 1St drug usedQ Followed by oral GlycerineIV Mannitol if the lOP is very high unresponsive Topical therapy - Pilocarpine Q 2 two drops to both eyes- Drug of choice - Dexamethasone or equivalent - beta blocker eg. Timolol Analgesia Antiemetics Patient to lie supine for 1 hour 