Baloch Mehreen, Siddiqui Muhammad Abdul Rehman
Department of Ophthalmology and Retinal Surgery, Shahzad Eye Hospital, Gulshan-e-Iqbal, Karachi, Pakistan.
J Pak Med Assoc. 2012 Oct;62(10):1092-3.
The case of a 20 year old female presenting with overnight acute loss of vision is reported. The patient was recently started on topiramate (Hitop) for her recurrent migraine and developed sudden loss of vision due to acute myopia. Topiramate was discontinued and the patient's vision returned to normal. Delayed and incorrect treatment may result in permanent vision loss, secondary to angle closure glaucoma; therefore it is imperative that prescribing physicians are aware of this rare but serious ocular emergency.
报告了一例20岁女性患者,该患者夜间突发视力丧失。该患者近期因复发性偏头痛开始服用托吡酯(妥泰),并因急性近视导致突然失明。停用托吡酯后,患者视力恢复正常。延迟和不正确的治疗可能导致继发于闭角型青光眼的永久性视力丧失;因此,开处方的医生必须了解这种罕见但严重的眼部急症。