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A 58-year-old diabetic, hypertensive male presents with a 3 month history of painless, decreased vision in his left eye.  On exam, his vision is 20/25 in his right eye and counts fingers (CF) in his left eye.  His intraocular pressure (IOP) in the right eye is 18 mmHg and 28mmHg in his left eye. On gonioscopy, the above is seen.

The next most important step in managing this patient is:

a. immediate laser trabeculoplasty for pseudoexfoliation glaucoma b. immediate laser iridotomy for angle closure glaucoma c. immediate trabeculectomy d.  immediate dilated retinal exam and immediate PRP

For answers to the above, click here on or after April 4, 2006.