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OPHTHALMIC IMAGE |
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Year : 2020 | Volume
: 68
| Issue : 9 | Page : 1972 |
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Batman in the anterior chamber: Retracting fibrin on anterior segment optical coherence tomography
Subhakar Reddy, Mudit Tyagi, Vishal Govindhari
Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India
Date of Web Publication | 20-Aug-2020 |
Correspondence Address: Dr. Mudit Tyagi Uveitis and Ocular Immunology Services, Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Banjara Hills, Hyderabad - 500 0034, Telangana India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_1243_20
How to cite this article: Reddy S, Tyagi M, Govindhari V. Batman in the anterior chamber: Retracting fibrin on anterior segment optical coherence tomography. Indian J Ophthalmol 2020;68:1972 |
A 45-year-old female developed a bilateral grade 4 anterior chamber (AC) inflammation after using topiramate 100 mg once daily for 1 week for her epilepsy. Her best-corrected visual acuity (BCVA) was counting fingers close to face (CFCF) in both eyes. Topiramate was discontinued [1] and she was started on intense topical steroids and cycloplegics. At 1 week, her BCVA improved to 20/60 and AC showed reduced reaction with retracting fibrin [Figure 1]a. An AS-OCT showed multiple hyperreflective dots [2] (cells) surrounded by a boundary of fused hyperreflective dots [Figure 1]b suggestive of enmeshed coagulum of fibrin (yellow arrow) in the shape of a bat. | Figure 1: (a) Diffuse slit lamp photograph showing fibrinous anterior uveitis, (b) AS-OCT showing retracting fibrin (yellow arrow) in the shape of a bat
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Our case demonstrates that topiramate cause drug-induced uveitis and angle closure.[1] Anterior segment OCT can be used in the documentation of AC reaction and can also aid in quantification along with existing slit lamp grading.[2]
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
References | | |
1. | Jabbarpoor Bonyadi MH, Soheilian R, Soheilian M. Topiramate-induced bilateral anterior uveitis associated with hypopyon formation. Ocular Immunol Inflamm 2011;19:86-8. |
2. | Li Y, Lowder C, Zhang X, Huang D. Anterior chamber cell grading by optical coherence tomography. Invest Ophthalmol Vis Sci 2013;54:258-65. Published 2013 Jan 9. |
[Figure 1]
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