DR. RISHI SHARMA

DR. JAYA KAUSHIK

Abstract

Drug-induced angle-closure glaucoma is an emergency associated with potentially vision threatening side effects.

There are various classes of drugs which induce acute angle-closure glaucoma. Topiramate is an oral sulfa-based

drug used for seizure, migraine, and neuropathic pain. We present a case of a 32-year-old female who

developed bilateral angle-closure glaucoma secondary to topiramate. AACG glaucoma due to medications can have devastating effects on the eye; however, it is preventable. Physicians prescribing such medications should be aware of the potentially blinding adverse effects. Patient should be fully informed of such adverse effects

and the warning symptoms. A meticulous history of drug medications used by the patient is the key in evaluation of AACG and its early management to prevent irreversible damage.