TJ-CEO
2007 , Vol 2 , Num 1
Acute Bilateral Angle Closure Glaucoma Secondary to Topiramate Use
1S.B. Ankara Eğitim ve Araştırma Hastanesi 1. Göz Kliniği, Ankara, Başasistan2S.B. Ankara Eğitim ve Araştırma Hastanesi 1. Göz Kliniği, Ankara, Uzm. Dr.
3S.B. Ankara Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Ankara, Uzm. Dr.
4S.B. Ankara Eğitim ve Araştırma Hastanesi 1. Göz Kliniği, Ankara, Klinik Şefi A case, which presents with acute bilateral angle-closure glaucoma and acute myopia, was seen at our clinic. Patient had no prior history of glaucoma and/or any other ocular abnormalities but had a history of secondary generalized epilepsy and was started with topiramate acetate 10 days prior to admission. Patient’s signs and symptoms responded well to topiramate discontinuation, topical and systemic anti glaucomatous medications and topical cycloplegic agents. In the follow-up period, visual acuity, intraocular pressure, gonioscopic and A-scan ultrasonographic findings returned to normal. Due to the potential ophthalmic side effects of topiramate, patients should be warned prior to drug initiation. Keywords : Topiramate acetate, epilepsy, angle closure glaucoma, myopia