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Topamax-Induced Angle Closure

LA is a 50-year-old man who presented with complaints of a rapid reduction in vision and moderate aching pain over the past 24 hours. He denied any previous history of a similar event. His past medical history was positive for a seizure disorder and a recent increase in vascular headaches. He had taken two doses of topamax starting 2 days previously. Clinical examination found visual acuity in both eyes of less than 20/400 but this was improved to 20/70 OD with a −2.50 sphere and 20/80 OS with a −3.50 sphere. He had no history of wearing glasses or contact lenses. There was 2+ corneal edema bilaterally and intraocular pressures of 45 OD and 47 OS. The indirect ophthalmoscope could visualize the optic nerves with a cup to disc ratio of 2/10 OU.

Keywords

Visual Acuity Optic Nerve Intraocular Pressure Contact Lens Anterior Chamber 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media, LLC 2008

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