Escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion – An interesting case report

Escitalopram, a selective serotonin reuptake inhibitor is widely used for the treatment of depression in psychiatric and primary care practices. We report a rare instance of escitalopram-induced bilateral secondary angle closure and acute onset myopic shift in a young male treated for depression. Ul...

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Bibliographic Details
Main Authors: Vijayalakshmi A Senthilkumar, Sujitha Ramesh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:TNOA Journal of Ophthalmic Science and Research
Subjects:
Online Access:http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2023;volume=61;issue=1;spage=132;epage=134;aulast=Senthilkumar
Description
Summary:Escitalopram, a selective serotonin reuptake inhibitor is widely used for the treatment of depression in psychiatric and primary care practices. We report a rare instance of escitalopram-induced bilateral secondary angle closure and acute onset myopic shift in a young male treated for depression. Ultrasound biomicroscopy obtained after the onset of his symptoms revealed bilateral ciliochoroidal effusion. His signs and symptoms stabilized completely within two weeks of stopping the drug. The presentation of escitalopram-induced idiosyncratic reaction with bilateral angle closure and ciliochoroidal effusion was rarely reported in Indian ethnic eyes. A detailed history taking and meticulous clinical evaluation helped us differentiate from acute primary angle closure glaucoma.
ISSN:2589-4528
2589-4536