An Ophthalmologist should evaluate the patient in the Emergency Department. Immediate surgical intervention may be indicated if there is no improvement in the patient's symptoms or the intraocular pressure is persistently elevated despite medical management and an anterior chamber paracentesis. Patients can usually be safely discharged home once symptoms resolve and the intraocular pressure has normalized. Arrange close follow-up with an Ophthalmologist within the next 24 to 48 hours. Patients are typically discharged with broad-spectrum topical ophthalmic antibiotics, oral pain medications, oral antiemetics, and other antiglaucoma medications including oral acetazolamide, topical ophthalmic beta blockers, ophthalmic pilocarpine, and/or ophthalmic steroids.10,15 The consulting Ophthalmologist will determine the proper medical management including the medications, their strength, and the frequency of administration. The patient should immediately return to the Emergency Department if they develop increased eye pain, severe nausea and/or vomiting, or any visual disturbances (e.g., decreased vision, photophobia, and halos around lights).