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Updated: May 23, 2026

Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
Published on: February 15, 2022
[Angle-closure glaucoma secondary to topiramate use]
M Rodríguez-Blanco1, A Piñeiro, M Bande
1Servicio de Oftalmología, Hospital de Conxo, Complexo Hospitalario Universitario de Santiago de Compostela, La Coruña, España. meyerblanco@yahoo.es
Case Report:
We describe a 42 year-old patient who developed acute myopia and closed-angle glaucoma one week after beginning treatment with topiramate. Ultrasound biomicroscopy revealed a bilateral angle closure and choroidal effusion. The clinical findings resolved with withdrawal of the topiramate.
Discussion:
Topiramate may cause acute myopia and closure angle glaucoma in some patients due to a choroidal effusion. Ultrasound biomicroscopy seems to be a useful tool for monitoring the progression of the clinical lesions and their resolution when the drug is withdrawn.
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