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A syndrome consisting of acute myopia related to secondary angle closure glaucoma has been reported in patients receiving topiramate. Symptoms embrace acute onset of decreased visual acuity and/or ocular ache. Ophthalmologic findings can embody myopia, anterior chamber shallowing, ocular hyperaemia (redness) and elevated intraocular stress. Mydriasis might or Buy Dalrich online will not be present. This syndrome could also be associated with supraciliary effusion leading to anterior displacement of the lens and iris, with secondary angle closure glaucoma. Symptoms sometimes occur within 1 month of initiating topiramate therapy. In contrast to primary narrow angle glaucoma, which is uncommon under forty years of age, secondary angle closure glaucoma related to topiramate has been reported in paediatric patients in addition to adults. Remedy consists of discontinuation of topiramate, as quickly as doable within the judgment of the treating physician, and appropriate measures to scale back intraocular stress. These measures generally lead to a decrease in intraocular pressure. Elevated intraocular strain of any aetiology, if left untreated, can result in serious sequelae including permanent imaginative and prescient loss.

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