Question 46

A 63 year old man presents to your clinic for his "first eye exam in 30 years". He has no complaints, but his wife said, "you should get your eyes checked". You notice very slight unilateral proptosis OS and a cup/disc ratio of 0.8 OS compared with a cup/disc ratio of 0.3 OD. His intraocular pressure (IOP) is 12 OD and 34 OS. On gonioscopy, there is no angle recession OU, but you do see some blood in Schlemm's canal OS. On history, his proptosis is positional and you diagnose him with a left orbital varix. Which topical glaucoma medication would be most effective at lowering the IOP in his left eye?

Latanoprost

Timolol

Pilocarpine

Bimatoprost

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