Dr.John Davis Akkara
We present a patient who presented with bilateral angle closure glaucoma, a rare but known adverse effect of Topiramate, which the patient was found to be on prior to the presentation.
The ideal investigation to follow up the patient would have been a Ultrasound Biomicroscopy(UBM), which was not available to us. However, we had access to Anterior Segment Optical Coherence Tomography(AS-OCT) and IOLMaster 700 biometry, and took serial scans over the recovery period.
These scans show the recovery of the angles following the drug induced acute angle closure attack.
B scans were also taken, showing the present of choroidal thickening and effusion which also slowly recovered.
Thus, we propose that when we do not have access to the ideal investigation, we must sometimes use available resources to diagnose and followup our patients.
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