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Argon laser peripheral iridoplasty for topiramate-induced bilateral acute angle closure
Zaher Sbeity1, Nadezhda Gvozdyuk, Wendewessen Amde
1Einhorn Clinical Research Center, New York Eye and Ear Infirmary, New York, NY, USA.
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.
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