A 42 year old man, hypeensive, is having symptoms of increased intraocular pressure. Which of the following agent is NOT used in this patient?: (A) Dipivefrin, (B) Beta blockers, (C) Alpha agonist, (D) Trabeculoplasty
Answer is C. Alpha agonist cannot he used in hypeensive patients because alpha receptors cause vascular smooth muscle contraction which leads to fuher increase in blood pressure. Systemic side effects of sympathomimetic drugs include, Hypeension Tachycardia Headache Palpitation Tremors Nervousness Anxiety Ref: Comprehensive Ophthalmology by AK Khurana, 4th edition, Page 225.