Contribution of the Visante ® OCT and B-scan ultrasound in the diagnosis and follow up of a topiramate-induced bilateral ciliochoroidal effusion syndrome.

Autores de IIS La Fe

• Salvador García Delpech

  Autor

• Patricia Udaondo Mirete

  Autor

Participantes ajenos a IIS La Fe

• Diaz-Cespedes RA
• Toro-Giraldo D
• Olate-Perez A
• Hervas-Ontiveros A

Grupos

• Biomedicina Molecular, Celular y Genómica

  

  Leader

  José María Millán Salvador

Abstract

A 45 year-old man with bilateral acute angle-closure and myopia after starting treatment with topiramate, secondary to alcohol and heroin dependence. Using Visante® OCT (Optical Coherence Tomography) and B-scan Ultrasound he was diagnosed with bilateral ciliochoroidal effusion as the pathophysiological mechanism. Topiramate was stopped and ocular hypotensive therapy with a topical cycloplegic and corticosteroids were started, resolving ciliochoroidal effusion syndrome. Visante® OCT and B-scan Ultrasound are useful tools for the diagnosis and follow-up of patients with acute angle-closure and myopia due to topiramate. As a result of broad spectrum of indications for topiramate, physicians and ophthalmologists should be aware of the possible ophthalmological manifestations attributable to this drug.

Keywords

• B-scan ultrasound, Bilateral angle closure, Cierre angular bilateral, Ciliochoroidal effusion, Ecografía ocular, Efusión ciliocoroidea, Optical coherence tomography, Tomografía de coherencia óptica, Topiramate, Topiramato