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Case Reports
. 2012 Aug;43(2):e89-91.
doi: 10.1016/j.jemermed.2009.09.020. Epub 2009 Dec 14.

Bilateral acute angle-closure glaucoma in a migraine patient receiving topiramate: a case report

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Case Reports

Bilateral acute angle-closure glaucoma in a migraine patient receiving topiramate: a case report

Kendra L Cole et al. J Emerg Med. 2012 Aug.

Abstract

Background: Patients with migraine headaches are frequently prescribed topiramate to treat their condition.

Case report: We present a case of bilateral acute angle-closure glaucoma occurring 2 days after topiramate therapy was increased for symptoms related to migraine.

Conclusion: Acute angle-closure glaucoma secondary to topiramate is an uncommon but serious adverse reaction that may result in severe morbidity such as permanent visual loss if not recognized in a timely manner. Treatment differs from primary acute angle-closure glaucoma in that discontinuation of topiramate is necessary for the glaucoma to resolve.

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