Elevated intraocular pressure (IOP) is the only known modifiable Jul 16, 2015 · July 16, 2015
Typically, cessation of Topamax results in resolution of the myopia and angle closure
A recent review of case reports of adverse effects of topiramate use revealed abnormal vision, acute secondary angle
Topiramate, a popular anticonvulsant with off-label use for bipolar disorder and antipsychotic-induced weight gain, similarly can cause a vision-threatening side effect in the form of angle-closure glaucoma;
Presumed topiramate-induced bilateral acute angle-closure glaucoma
Although primary open-angle glaucoma (POAG) is the leading cause of blindness in
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Inhaled albuterol was used as a negative Primary open-angle glaucoma is a progressive eye disease caused by elevated intraocular eye pressure (IOP)
Anticonvulsants
Both patients, with a history of seizure and migraine, respectively, were Acute angle-closure glaucoma, unspecified eye
TPM-induced acute angle closure (TiAAC) is a potentially vision-threatening side effect of TPM use
2 ACG causes nearly half of all
Open-angle glaucoma is a chronic, progressive, and irreversible multifactorial optic neuropathy that is characterized by an open angle of the anterior chamber, optic nerve head changes, progressive loss of peripheral vision, followed by central visual field loss
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Unfortunately, 165 years later we still don’t fully understand the nature of glaucoma—especially primary open-angle glau-coma
50 may differ
Many medications cause secondary angle closure, including tricyclic antidepressants, MAO-inhibitors, antihistamines and sulfa-based drugs like topiramate
Background
This type of glaucoma is painless and causes no vision changes at first
A similar presentation can be from a medicine called Topamax (topiramate) that is commonly used for headaches A case is reported of acute bilateral myopia and angle closure glaucoma in a 7-year-old patient from topiramate toxicity
2 Use: Topiramate is an anticonvulsant drug that has FDA approval for the treatment of epilepsy and migraine headaches
These spikes can be quite high, especially in patients with open-angle glaucoma who are taking cholinergic drops (Shaw and Lewis, 1986)
Primary open-angle glaucoma (POAG) is the most common type associated with an open anterior chamber angle of the eye
Long-term, open-label treatment of pediatric