After a routine eye exam where myopia was diagnosed, the patient presented to the emergency room with symptoms of acute onset blurry vision, tearing, red eyes, swollen eyelids, and photophobia. Read More About Glaucoma Ophthalmology.
Advanced Search Users Online: Topiramate is an oral medication used in the treatment of epilepsy and prevention of migraines. One day after the initial examination, the patient was more comfortable and reported an improvement in his vision.
The ring 14 syndrome: Postsurvey, all psychiatry and neurology residents indicated they planned to counsel their patients on TiACG.
Volume 40 Number 3 Summer Bilateral simultaneous acute angle closure caused by sulphonamide derivatives: Bilateral angle-closure glaucoma and ciliary body swelling from topiramate. Topiramate for migraine prevention.
Topiramate-induced bilateral acute glaucoma: Topiramate has been approved in the adult population as preventive therapy for headache and migraine and is used off-label for these conditions in the pediatric population. When angle closure occurs from Topamax use, it usually is seen relatively soon after starting the medication—often within the first month, and sometimes even after the first dose.
The initial ocular assessment should include a comprehensive history and a review of systemic history including current medications.
It is absorbed rapidly after oral intake and crosses the blood—brain barrier.
Don’t assume prescribers know its ocular side effects.
Anterior segment OCT of the right eye demonstrating abnormal anterior iris convexity, iridocorneal apposition at the angle, and an anterior lens vault D. Which key elements differentiate the different classifications?
It is also approved by the Food and Drug Administration for the prevention of migraines. Topiramate was discontinued and was placed on her allergy list.
Slit lamp photograph of gonioscopy, one week after discontinuation of topiramate with deepened anterior chamber, and open angle arrow pointing to trabecular meshwork. I Churchill Livingstone Pvt Ltd: Relato de caso] De Menezes, M.
Figures 1A and 1B: Subsequently, Ortho McNeal Pharmaceuticals circulated a letter indicating the reported adverse reactions of the drug. A review of recent studies of clinical efficacy and side effects.
Luckily, outcomes for patients with properly treated topiramate-induced acute ACG are usually good.
It cautions providers to the potential ophthalmic side effects of commonly used medications in the pediatric population. Sign in to access your subscriptions Sign in to your personal account. Secondary angle-closure glaucoma can have several etiologies, including being medication-induced.