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  Indian J Med Microbiol
 

Figure 1: Ciliochoroidal effusion in topiramate-induced acute angle closure (only left eye shown). (a) Ultrasound biomicroscopy (UBM) with straight arrows showing ciliochoroidal effusion. (b) Anterior segment optical coherence tomography (AS-OCT) with curved arrows showing narrowing of the anterior chamber angle due to forward rotation of the iris-lens diaphragm. The trabecular meshwork is covered with the iris tissue (white arrowhead). (c) UBM after initiating topical hypotensive, antiinflammatory and cycloplegic therapy, and cessation of topiramate showing resolution of the choroidal effusion. (d) AS-OCT showing opening of the anterior chamber angle after treatment; the Schlemm's canal is marked by a white asterisk

Figure 1: Ciliochoroidal effusion in topiramate-induced acute angle closure (only left eye shown). (a) Ultrasound biomicroscopy (UBM) with straight arrows showing ciliochoroidal effusion. (b) Anterior segment optical coherence tomography (AS-OCT) with curved arrows showing narrowing of the anterior chamber angle due to forward rotation of the iris-lens diaphragm. The trabecular meshwork is covered with the iris tissue (white arrowhead). (c) UBM after initiating topical hypotensive, antiinflammatory and cycloplegic therapy, and cessation of topiramate showing resolution of the choroidal effusion. (d) AS-OCT showing opening of the anterior chamber angle after treatment; the Schlemm's canal is marked by a white asterisk