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Patients with migraine headaches are frequently prescribed topiramate to treat their condition. We present a case of bilateral acute angle-closure glaucoma occurring 2 days after topiramate therapy was increased for symptoms related to migraine. 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. Published by Elsevier Inc.

Citation

Kendra L Cole, Ernest E Wang, Richard M Aronwald. Bilateral acute angle-closure glaucoma in a migraine patient receiving topiramate: a case report. The Journal of emergency medicine. 2012 Aug;43(2):e89-91

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PMID: 20005660

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