Glass Gemstone: What Are The Choices
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A syndrome consisting of acute myopia associated with secondary angle closure glaucoma has been reported in patients receiving topiramate. Symptoms embody acute onset of decreased visual acuity and/or ocular ache. Ophthalmologic findings can embody myopia, Buy indocin online anterior chamber shallowing, ocular hyperaemia (redness) and elevated intraocular strain. Mydriasis might or is probably not current. This syndrome may be associated with supraciliary effusion leading to anterior Buy indocin online displacement of the lens and iris, Buy endep online with secondary angle closure glaucoma. Signs usually happen inside 1 month of initiating topiramate therapy. In contrast to primary slender angle glaucoma, Buy indocin online which is uncommon below forty years of age, secondary angle closure glaucoma associated with topiramate has been reported in paediatric patients in addition to adults. Treatment consists of discontinuation of topiramate, as quickly as potential in the judgment of the treating physician, and appropriate measures to scale back intraocular strain. These measures generally lead to a decrease in intraocular stress. Elevated intraocular stress of any aetiology, if left untreated, can result in severe sequelae including permanent vision loss.
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