ReviewInternational ophthalmology2018
Bilateral acute angle closure glaucoma and myopic shift by topiramate-induced ciliochoroidal effusion: case report and literature review.
Review in International ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Topiramate-induced acute angle closure: A systematic review of case reports and case series.Indian journal of ophthalmology · 2022Pooled it
- Glaucoma and Systemic Disease.Life (Basel, Switzerland) · 2023Review
- Low-dose topiramate and hydrochlorothiazide-associated early acute myopia and angle narrowing: A case report.Frontiers in medicine · 2023Article
- The Ophthalmic Side Effects of Topiramate: A Review.Cureus · 2022Review
- Psychopharmacological Treatment, Intraocular Pressure and the Risk of Glaucoma: A Review of Literature.Journal of clinical medicine · 2021Review
- A review of systemic medications that may modulate the risk of glaucoma.Eye (London, England) · 2020Review
- The Use of Topiramate for Weight Loss Causing Acute Glaucoma: A Case Report and Literature Review.Medical hypothesis, discovery & innovation ophthalmology journal · 2019Article
- Topiramate-induced acute bilateral angle closure glaucoma confirmed by ultrasound biomicroscopy.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological SocietyArticle
- Topiramate-induced angle closure glaucoma: Two unique case reports.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological SocietyArticle
- A Rare Case of Unilateral Progressive Cataract in a Young Patient Receiving Topiramate.Case reports in ophthalmologyArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo report two cases of ciliochoroidal effusion after the usage of topiramate. CASES: Two middle-aged women experienced sudden onset of acute glaucoma and acquired myopia after taking topiramate. Ultrasound biomicroscopy demonstrated bilateral ciliochoroidal effusion and angle closure. The A-scan ultrasonography revealed shallow anterior chamber and thick lens. After the treatment and drug withdrawal, intraocular pressure, refractive status and angle anatomy returned to normal and there was resolution of ciliochoroidal effusion. During the clinical course, the anterior chamber depth (ACD) increased from 2.02 to 3.30 mm (1.28 mm of changes) OD and from 1.94 to 3.36 mm (1.42 mm of changes) OS. The lens thickness (LT) became thinner from 4.53 to 4.31 mm (0.22 mm of changes) OD and from 4.59 to 4.30 mm (0.29 mm of changes) OS in the first case. In the second case, the ACD increased from 2.33 to 3.07 mm (0.74 mm of changes) OD and from 2.30 to 3.05 mm (0.75 mm of changes) OS. The LT became thinner from 4.42 to 4.27 mm (0.15 mm of changes) OD and from 4.38 to 4.26 mm (0.12 mm of changes) OS. The forward displacement of the lens-iris diaphragm contributed more to the shallowness of the anterior chamber than the thickening of the lens itself (only accounting for 20%).
conclusionTopiramate-induced bilateral acute angle closure glaucoma and myopic shift was due to ciliochoroidal effusion which resulted in thicker lens and shallow anterior chamber. The later was mainly due to anterior displacement of the lens-iris diaphragm.
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