托吡酯诱发继发性急性闭角型青光眼1例罕见病例
A Rare Case of Topiramate Induced Secondary Acute Angle Closure Glaucoma.
作者信息
Joshi Ajit Kamalakar, Pathak Amit Hemant, Patwardhan Saurabh Dilip, Kulkarni Anil Narayan
机构信息
Professor, Department of Ophthalmology, Bharati Vidyapeeth Deemed University Medical College and Hospital, Sangli, Maharashtra, India.
Junior Resident, Department of Ophthalmology, Bharati Vidyapeeth Deemed University Medical College and Hospital, Sangli, Maharashtra, India.
出版信息
J Clin Diagn Res. 2017 Jun;11(6):ND01-ND03. doi: 10.7860/JCDR/2017/28093.10052. Epub 2017 Jun 1.
Secondary Acute Angle Closure Glaucoma (AACG) is a known side effect of Topiramate (TPM). Here, we present a case report of a 47-year-old male who was started on TPM 25 mg/day for migraine. He presented to the ophthalmology department of our hospital with sudden blurring of vision and colored halos after one day of starting TPM. A high index of suspicion, followed by appropriate investigations and prompt management that helped to manage TPM induced bilateral AACG with quick and complete visual recovery.
继发性急性闭角型青光眼（AACG）是托吡酯（TPM）已知的一种副作用。在此，我们报告一例47岁男性病例，该患者因偏头痛开始每日服用25毫克TPM。在开始服用TPM一天后，他因突然视力模糊和出现彩色光晕而前来我院眼科就诊。高度怀疑后，经过适当检查和及时处理，成功治疗了TPM诱发的双侧AACG，视力迅速且完全恢复。
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