Question:medium

Besides its property of decreasing intraocular pressure, timolol is preferred in the treatment of glaucoma because it?

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Unlike pilocarpine it leaves the pupil unchanged.
Updated On: Jun 24, 2026
  • Produces no miosis
  • Possesses membrane stabilizing activity
  • Increases outflow of aqueous humor
  • Is a selective beta-adrenoceptor blocker
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The Correct Option is A

Solution and Explanation

Step 1: Timolol controls glaucoma by suppressing aqueous secretion at the ciliary epithelium through beta blockade, thereby cutting intraocular pressure.

Step 2: The question asks for its extra clinical edge over miotics like pilocarpine. Because it acts on secretion rather than on the iris muscle, it leaves the pupil unchanged - no miosis. That spares the patient pupillary fluctuation, drug-induced myopia and painful ciliary spasm, with simpler once or twice daily dosing.

Step 3: Reject the others - it lowers production rather than boosting outflow, it is non-selective rather than beta-1 selective, and its membrane-stabilizing activity is incidental and not the reason for preference.

\[\boxed{\text{Produces no miosis}}\]
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