Choroidal drainage in the management of acute angle closure after topiramate toxicity.
Parikh Rajul, Parikh Shefali, Das Sanghamitra, Thomas Ravi
AI Summary
Choroidal drainage effectively resolved acute angle closure and cilio-choroidal effusion in a patient with topiramate toxicity, suggesting it's a safe and effective intervention when indicated.
Abstract
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 1 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.
MeSH Terms
Shields Classification
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