Which of the following is NOT a commonly used medical management option for glaucoma?

Opiate analgesics are not a commonly used medical management option for glaucoma. The primary goal in managing glaucoma is to reduce intraocular pressure (IOP) to prevent damage to the optic nerve. The medications routinely used for this purpose include prostaglandin analogues, beta-blockers, and carbonic anhydrase inhibitors, all of which have mechanisms of action aimed at decreasing IOP.

Prostaglandin analogues help increase the outflow of aqueous humor, thereby reducing IOP. Beta-blockers work primarily by reducing the production of aqueous humor. Carbonic anhydrase inhibitors also decrease aqueous humor production, contributing to lower IOP. Each of these medications is specifically designed to address the underlying pathology of glaucoma.

In contrast, opiate analgesics are primarily used for pain management. They do not have any significant effect on intraocular pressure and are not indicated for the treatment of glaucoma. Therefore, while they may play a role in managing pain related to various conditions, they do not contribute to the medical management of glaucoma itself.