Intermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration

Lamise Z Rajjoub, Nisha Chadha, David A Belyea Department of Ophthalmology, The George Washington University, Washington, DC, USA Abstract: This is a case report describing recurrent intermittent acute angle closure episodes in the setting of topiramate use in a female suffering from migraines. D...

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Autores principales: Rajjoub LZ, Chadha N, Belyea DA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2014
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Acceso en línea:https://doaj.org/article/1bb9083b33974c93a96e12670b447b73
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spelling oai:doaj.org-article:1bb9083b33974c93a96e12670b447b732021-12-02T06:50:01ZIntermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration1177-5483https://doaj.org/article/1bb9083b33974c93a96e12670b447b732014-07-01T00:00:00Zhttp://www.dovepress.com/intermittent-acute-angle-closure-glaucoma-and-chronic-angle-closure-fo-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Lamise Z Rajjoub, Nisha Chadha, David A Belyea Department of Ophthalmology, The George Washington University, Washington, DC, USA Abstract: This is a case report describing recurrent intermittent acute angle closure episodes in the setting of topiramate use in a female suffering from migraines. Despite laser peripheral iridotomy placement for the pupillary block component, and the discontinuation of topiramate, the acute angle closure did not resolve in the left eye with chronic angle closure and the patient required urgent trabeculectomy. The right eye responded to laser peripheral iridotomy immediately and further improved after the cessation of topiramate. While secondary angle closure glaucoma due to topiramate use has been widely reported, its effects in patients with underlying primary angle closure glaucoma have not been discussed. Our report highlights the importance of recognizing the often multifactorial etiology of angle closure glaucoma to help guide clinical management. Keywords: angle closure glaucoma, plateau iris, topiramate, secondary glaucoma, drug-induced glaucomaRajjoub LZChadha NBelyea DADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1351-1354 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Rajjoub LZ
Chadha N
Belyea DA
Intermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration
description Lamise Z Rajjoub, Nisha Chadha, David A Belyea Department of Ophthalmology, The George Washington University, Washington, DC, USA Abstract: This is a case report describing recurrent intermittent acute angle closure episodes in the setting of topiramate use in a female suffering from migraines. Despite laser peripheral iridotomy placement for the pupillary block component, and the discontinuation of topiramate, the acute angle closure did not resolve in the left eye with chronic angle closure and the patient required urgent trabeculectomy. The right eye responded to laser peripheral iridotomy immediately and further improved after the cessation of topiramate. While secondary angle closure glaucoma due to topiramate use has been widely reported, its effects in patients with underlying primary angle closure glaucoma have not been discussed. Our report highlights the importance of recognizing the often multifactorial etiology of angle closure glaucoma to help guide clinical management. Keywords: angle closure glaucoma, plateau iris, topiramate, secondary glaucoma, drug-induced glaucoma
format article
author Rajjoub LZ
Chadha N
Belyea DA
author_facet Rajjoub LZ
Chadha N
Belyea DA
author_sort Rajjoub LZ
title Intermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration
title_short Intermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration
title_full Intermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration
title_fullStr Intermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration
title_full_unstemmed Intermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration
title_sort intermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/1bb9083b33974c93a96e12670b447b73
work_keys_str_mv AT rajjoublz intermittentacuteangleclosureglaucomaandchronicangleclosurefollowingtopiramateusewithplateauirisconfiguration
AT chadhan intermittentacuteangleclosureglaucomaandchronicangleclosurefollowingtopiramateusewithplateauirisconfiguration
AT belyeada intermittentacuteangleclosureglaucomaandchronicangleclosurefollowingtopiramateusewithplateauirisconfiguration
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