Doesnt matter what UI you use, Alt-O is how you open the options in all cases (if you didnt change the keybind for it)
If that doesnt work then theres some kind of issue. Could be that the Options menu is offscreen and a fix for that situation is reloading the UI and unchecking Keep Layout so that you get the default layout positions (you'll have to rearrange the UI doing this)
The Options keybind can be changed and even unset making it impossible to open again. If you think you might of messed this up, you can delete the eqclient.ini in the main EQ folder to have it reset everything to defaults
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