Medical management of malignant glaucoma
| Drug | Dose | |
|---|---|---|
| For cycloplegia: | ||
| Atropine 1% | 6 times daily, reducing to maintenance dose | |
| Subconjunctival Mydricaine | ||
| For shrinkage of vitreous and/or reduction of aqueous production: | ||
| β blocker | Twice daily (unless contraindicated) | |
| Aproclonidine 0.5% | Twice daily (1% initial Rx for IOP control) | |
| Acetazolamide | 250 mg four times daily (consider guttae dorzolamide for maintenance) | |
| Glycerol (50% solution) | 0.5–1 ml per kg twice daily | |
| Mannitol (intravenous) | 2 g per kg | |
Continue for 4–5 days unless surgical intervention is necessary.