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¹M.D., Fatih University Faculty of Medicine, Department of Ophthalmology, Ankara/TURKEY
²M.D. Associate Professor, Fatih University Faculty of Medicine, Department of Ophthalmology, Ankara/TURKEY
³M.D. Associate Professor, Yüzüncü Yıl University Faculty of Medicine, Department of Ophthalmology, Van/TURKEY
⁴M.D. Professor, Fatih University Faculty of Medicine, Department of Ophthalmology, Ankara/TURKEY This paper presents topiramate induced anterior chamber changes with the Galilei Scheimpflug imaging system. A woman is presented with clinical findings and Galilei Anterior Chamber Tomography before and after stopping topiramate. The patient presented with bilateral abnormal vision, acute secondary angle closure glaucoma, and acute myopia due to topiramate therapy, which has a wide range of fields of use. After cessation of therapy, all clinical findings improved and the Galilei Scheimpflug imaging system revealed backward displacement of the lens iris diaphragm and deepening of the anterior chamber. Ciliochoroidal effusion syndrome induced by drugs should be kept in mind in patients with bilateral abnormal vision, acute secondary angle closure glaucoma, and acute myopia. Galilei is noninvasive and will help to detect and quantify topiramate induced narrow iridocorneal angle at an early stage. Keywords : Acute angle closure, Galilei, Topiramate