Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Department of Ophthalmology, Virginia Commonwealth University, Richmond, Virginia, USA
Case Report
Topiramate and Triptan Concomitant use in Acute Angle Closure Glaucoma
Author(s): Shivam Gulhar, Christian Mays and Surbhi Bansal*
Background: We present a case of severe bilateral angle closure crisis in a patient using both topiramate and triptans
with intraocular pressures that were refractory to initial medical therapy. We explore the mechanism of acute angle
closure and additional factors that may be contributing to this specific presentation.
Case: In this case report, we present our clinical findings, review the mechanism of action of acute angle closure
glaucoma, and explore well studied as well as theoretical treatments. We will review current literature citing
topiramate induced acute angle closure glaucoma, sumatriptan acute angle closure glaucoma and investigate the
possibility of a synergistic relationship between these medications as well as other sulfa based drugs.
Results: The literature suggests a well-known mechani.. View More»
DOI:
10.35248/2155-9570.23.14.944