Topiramat Kullanımının Tetiklediği Miyopik Kayma ve Bilateral Sekonder Kapalı Açılı Glokom

In this case report, we discuss a 24-year-old female patient with diagnosis of epilepsy who developed myopia and acute bilateral angleclosure\udglaucoma after 7 days of treatment with topiramate. The patient had also been taking duloxetine daily for six months with\uddiagnosis of depression. Both topiramate and duloxetine have been related to the increase of intraocular pressure and the development of\udglaucoma. This case report highlights the need for being suspicious about acute bilateral angle-closure glaucoma, which is reversible by\udsupportive treatment in patients using topiramate. We recommend that particular attention should be paid in prescribing topiramate to\udpatients who are already under treatment with duloxetine or other antidepressants with a similar mechanism of action and that patients\udshould be informed about possible side effects. (Turk J Oph thal mol 2012; 42: 154-6