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Abstract #20127 Published in IGR 9-4
Choroidal drainage in the management of acute angle closure after Topiramate toxicity
Parikh R; Parikh S; Das S; Thomas RJournal of Glaucoma 2007; 16: 691-693
PURPOSE: To report the role of choroidal drainage in patient with acute bilateral angle closure secondary to cilio-choroidal effusion with Topiramate. DESIGN: Interventional case report. METHODS: Two weeks after commencing tablet Topiramate (Sulfamate derivative) for management of epilepsy, a patient developed bilateral acute angle closure secondary to cilio-choroidal effusion with lenticulo-corneal touches for which choroidal drainage was performed in one eye. RESULTS: After choroidal drainage, anterior chamber deepened, corneal edema resolved, choroidals started resolving, and intraocular pressure was controlled without medication. CONCLUSIONS: In patients presenting with acute angle closure secondary to Topiramate toxicity, choroidal drainage if indicated, is a safe and effective interventional procedure.
Classification:
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
12.20 Other (Part of: 12 Surgical treatment)
