advertisement
Abstract #23819 Published in IGR 11-2
Argon laser peripheral iridoplasty for topiramate-induced bilateral acute angle closure
Sbeity Z; Gvozdyuk N; Amde W; Liebmann JM; Ritch RJournal of Glaucoma 2009; 18: 269-271
PURPOSE: To report a case of a topiramate-induced bilateral acute angle closure that was treated successfully by argon laser peripheral iridoplasty (ALPI). METHODS: A 59-year-old healthy woman taking oral topiramate developed bilateral acute angle closure. B-scan ultrasonography, ultrasound biomicroscopy, and slit-lamp adapted ocular coherence tomography were performed. RESULTS: The patient had shallow anterior chambers and total angle closure for 360 degrees OU. Ocular imaging showed circumferential ciliochoroidal effusions with anterior displacement of the iris-lens diaphragm. ALPI relieved the angle closure. CONCLUSIONS: ALPI should be considered as initial therapy for topiramate-induced acute angle closure.
Einhorn Clinical Research Center, New York Eye and Ear Infirmary, New York, NY, USA.
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.3 Laser iridoplasty (Part of: 12 Surgical treatment)
