What is the proper action when preparing a patient with acute angle-closure glaucoma for surgery?

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When preparing a patient with acute angle-closure glaucoma for surgery, it is crucial to ensure that the patient is fully informed and has provided informed consent. This situation may involve contacting the surgeon to revise the consent form to accurately represent the risks and benefits of the procedure, especially considering the specific condition of acute angle-closure glaucoma, which may affect the patient's understanding of the surgical outcome.

Proper consent ensures that all potential procedural outcomes are communicated, including the fact that the surgery may not necessarily cure the glaucoma but rather aim to stabilize or manage the condition. Integrating clear communication about procedural expectations is essential for patient understanding and care continuity.

In contrast, while administering topical medications like apraclonidine can aid in managing intraocular pressure, it does not address the need for updated consent based on the patient’s unique case. Similarly, preoperative cholinergic agents serve a different purpose, mainly related to pupil constriction, rather than the consent or understanding of the surgical process. Finally, while explaining to the patient that surgery may not provide a cure is important, this typically falls under the consent discussion rather than a standalone action, which is why revising the consent form is the more appropriate answer.

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