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Relationship Between Topiramate Use and Ocular Angle Status

Phase 4
Conditions
Glaucoma, Angle-Closure
Registration Number
NCT00153699
Lead Sponsor
Chinese University of Hong Kong
Brief Summary

We test the hypothesis whether topiramate narrows the angles which may render Asians more likely to suffer from acute angle closure glaucoma.

Detailed Description

Topiramate is approved for the treatment of epilepsy and prophylaxis of migraine attacks. There were case reports of acute angle closure glaucoma (AACG) associated with its use. AACG is particularly common in Asians because of a higher prevalence of narrow angle., we test the hypothesis whether topiramate narrows the angles which may render them more likely to suffer from AACG.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Participants aged 18-75 with an indication for starting topiramate.
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Exclusion Criteria
  • Patients with known allergy or intolerance to topiramate.
  • Recent exposure to topiramate (<3 months).
  • Moderate to severe renal failure.
  • Known history of renal calculi or hepatic failure
  • Inability to give informed consent.
  • Pregnant women or women of child-bearing age who do not practise an acceptable means of contraception.
  • Patients known to have angle-closure glaucoma.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Change(s) in ophthalmic parameters measured at baseline and after 4 weeks of treatment, including:4 weeks
best-corrected visual acuity, refraction, Goldmann applanation tonometry, Gonioscopy, dilated fundus examination,4 weeks
and ultrasound biomicroscopy of angle and anterior segment.4 weeks
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Hong Kong Eye Hospital

🇭🇰

Kowloon, Hong Kong

Prince of Wales Hospital

🇭🇰

Shatin, Hong Kong

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