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Updated: May 26, 2026

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Published on: February 15, 2022
Topiramate induced bilateral angle-closure glaucoma: low dosage in a short time
Cagatay Caglar1, Tekin Yasar, Dogan Ceyhan
1Department of Ophthalmology, Van State Hospital, Van, Turkey. acemidoktor@hotmail.com
Purpose:
The aim of this article is to create awareness among medical colleagues regarding the severe ophthalmic side effects associated with topiramate use.
Methods:
A case of severe acute bilateral angle closure glaucoma with visual blurring after oral topiramate therapy.
Results:
This case was successfully managed by discontinuing topiramate and by starting anti-glaucoma medication. Intraocular pressure, acute transient myopia, and anterior chamber depth were normalized.
Conclusions:
It is important for clinicians to recognize these conditions and educate patients about these serious adverse effects when prescribing topiramate.
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