The nurse should screen closed-angle glaucoma before the initiation of the anticholinergic medications.
Angle-closure glaucoma, this is a form of glaucoma, occurs when the iris bulges. A protruding iris partially or completely blocks the outflow angle. As a result, fluid cannot circulate through the eye and the intraocular pressure increases. Angle-closure glaucoma can occur suddenly or gradually. It develops rapidly and its symptoms include severe pain, redness, and nausea.
Acute angle-closure glaucoma is a medical emergency. If high pressure is not relieved within hours, it can permanently damage your eyesight. Peripheral laser iridotomy (LPI) performed 24-48 hours after checking intraocular pressure is considered the definitive treatment for AACG. This is the condition that should be screened before the start of the anticholinergic medications.
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