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   Table of Contents      
LETTER TO THE EDITOR
Year : 2015  |  Volume : 63  |  Issue : 11  |  Page : 870

Comment on: Bilateral angle closure glaucoma: Differential diagnosis


Department of Neuro-ophthalmology, Clinic and Glaucoma Service, AG Eye Hospital, Puthur, Tiruchirappalli, Tamil Nadu, India

Date of Web Publication16-Dec-2015

Correspondence Address:
N Venugopal
Flat No. 19, Mathuram Apartments, (Behind YMCA) Officer's Colony, Puthur, Tiruchirappalli - 620 017, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.171976

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How to cite this article:
Venugopal N. Comment on: Bilateral angle closure glaucoma: Differential diagnosis. Indian J Ophthalmol 2015;63:870

How to cite this URL:
Venugopal N. Comment on: Bilateral angle closure glaucoma: Differential diagnosis. Indian J Ophthalmol [serial online] 2015 [cited 2020 Jun 2];63:870. Available from: http://www.ijo.in/text.asp?2015/63/11/870/171976

Dear Sir,

We read the article titled, "Anterior segment optical coherence tomography documentation of a case of topiramate-induced acute angle closure" by Mitra et al. [1] Authors have mentioned about the role of topiramate in migraine prevention. Migraine is known to cause vomiting, fluid loss, and dehydration. In mild case of dehydration, physician usually advises oral fluid intake to compensate fluid loss (adult patients). Probably, an inadvertent fluid overload might have caused increased choroidal thickness and bilateral angle closure glaucoma. [2] Authors have mentioned about the role of topiramate-induced disturbance of osmotic status of the lens causing acute myopia. Hyperglycemia (diabetes) may cause changes in refractive error by similar mechanism. [3] Physical exercise may cause increased choroidal thickness. [4]

To conclude, proper history taking and meticulous clinical examination supplemented by appropriate investigations are necessary to avoid unnecessary financial burden to glaucoma patients. [5]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Mitra A, Ramakrishnan R, Kader MA. Anterior segment optical coherence tomography documentation of a case of topiramate induced acute angle closure. Indian J Ophthalmol 2014;62:619-22.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Venugopal N. Water drinking test and angle closure glaucoma. Indian J Ophthalmol 2015;63:172.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.
Vishwakarma P, Raman GV, Sathyan P. Mefenamic acid-induced bilateral transient myopia, secondary angle closure glaucoma and choroidal detachment. Indian J Ophthalmol 2009;57:398-400.  Back to cited text no. 3
[PUBMED]  Medknow Journal  
4.
Sayin N, Kara N, Pekel G, Altinkaynak H. Choroidal thickness changes after dynamic exercise as measured by spectral-domain optical coherence tomography. Indian J Ophthalmol 2015;63:445-50.  Back to cited text no. 4
[PUBMED]  Medknow Journal  
5.
Garudadri C, Senthil S, Rao HL. Evidence-based approach to glaucoma management. Indian J Ophthalmol 2011;59 Suppl: S5-10.  Back to cited text no. 5
    




 

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