Contribution of the Visante® OCT and B-scan ultrasound in the diagnosis and follow up of a topiramate-induced bilateral ciliochoroidal effusion syndrome
Arch Soc Esp Oftalmol (Engl Ed). 2019 Aug;94(8):391-395.
doi: 10.1016/j.oftal.2019.01.004.
Epub 2019 Feb 7.
[Article in
English,
Spanish]
Affiliations
- 1 Servicio de Oftalmología, Hospital de Manises, Valencia, España. Electronic address: riediaz@gmail.com.
- 2 Servicio de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, España.
- 3 Servicio de Oftalmología, Hospital Obispo Polanco de Teruel, Teruel, España.
- 4 Servicio de Oftalmología, Hospital de Manises, Valencia, España.
- 5 Servicio de Oftalmología, Hospital Universitario y Politécnico de la Fe, Valencia, España.
Abstract
A 45 year-old man with bilateral acute angle-closure and myopia after starting treatment with topiramate, secondary to alcohol and heroin dependence. Using Visante® OCT (Optical Coherence Tomography) and B-scan Ultrasound he was diagnosed with bilateral ciliochoroidal effusion as the pathophysiological mechanism. Topiramate was stopped and ocular hypotensive therapy with a topical cycloplegic and corticosteroids were started, resolving ciliochoroidal effusion syndrome. Visante® OCT and B-scan Ultrasound are useful tools for the diagnosis and follow-up of patients with acute angle-closure and myopia due to topiramate. As a result of broad spectrum of indications for topiramate, physicians and ophthalmologists should be aware of the possible ophthalmological manifestations attributable to this drug.
Keywords:
B-scan ultrasound; Bilateral angle closure; Cierre angular bilateral; Ciliochoroidal effusion; Ecografía ocular; Efusión ciliocoroidea; Optical coherence tomography; Tomografía de coherencia óptica; Topiramate; Topiramato.
Copyright © 2019 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Adrenal Cortex Hormones / therapeutic use
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Alcoholism
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Anticonvulsants / adverse effects*
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Choroidal Effusions / complications
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Choroidal Effusions / diagnostic imaging*
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Choroidal Effusions / drug therapy
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Follow-Up Studies
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Glaucoma, Angle-Closure / chemically induced
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Glaucoma, Angle-Closure / diagnostic imaging
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Glaucoma, Angle-Closure / drug therapy
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Heroin Dependence
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Humans
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Male
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Microscopy, Acoustic / methods*
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Middle Aged
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Mydriatics / therapeutic use
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Myopia / chemically induced
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Myopia / drug therapy
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Tomography, Optical Coherence / methods*
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Topiramate / adverse effects*
Substances
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Adrenal Cortex Hormones
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Anticonvulsants
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Mydriatics
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Topiramate