Argon laser peripheral iridoplasty for topiramate-induced bilateral acute angle closure

Zaher Sbeity, Nadezhda Gvozdyuk, Wendewessen Amde, Jeffrey M. Liebmann, Robert Ritch

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)269-271
Number of pages3
JournalJournal of Glaucoma
Volume18
Issue number4
DOIs
StatePublished - Apr 2009
Externally publishedYes

Keywords

  • Angle closure
  • Choroidal effusion
  • Iridoplasty
  • Topiramate

Fingerprint

Dive into the research topics of 'Argon laser peripheral iridoplasty for topiramate-induced bilateral acute angle closure'. Together they form a unique fingerprint.

Cite this