Emergency, topiramate and glaucoma
DOI:
https://doi.org/10.70313/2718.7446.v13.n2.20Keywords:
acute glaucoma, topiramate, migraineAbstract
Objective: To report on a case of bilateral acute glaucoma associated with oral topiramate therapy.
Clinical case: 53-year-old female patient presenting at the clinical emergency department with headache, visual loss and bilateral ocular pain, intense photophobia, intraocular pressure (IOP) of 54 mmHg in both eyes (BE) and a history of migraine. She reported that she was on oral therapy with topiramate. She was then administered treatment with timolol maleate, pilocarpine and mannitol, and topiramate was discontinued. The new therapy administered successfully resolved the ophthalmic picture; the final visual acuity was 20/20 in BE and the IOP was 12 mmHg after three weeks.
Conclusion: In bilateral acute glaucoma cases relevant information about the patient’s medical history should be obtained. Prescription of topiramate for migraine treatment should be considered, particularly if the initial dose has been increased, since the picture can only be resolved by discontinuation of therapy.
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