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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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
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author Vijayalakshmi A Senthilkumar
Sujitha Ramesh
author_facet Vijayalakshmi A Senthilkumar
Sujitha Ramesh
author_sort Vijayalakshmi A Senthilkumar
collection DOAJ
description 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.
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spelling doaj.art-651fdab965fc44ce84778d24689bf0f12023-07-21T13:07:42ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362023-01-0161113213410.4103/tjosr.tjosr_113_22Escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion – An interesting case reportVijayalakshmi A SenthilkumarSujitha RameshEscitalopram, 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.http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2023;volume=61;issue=1;spage=132;epage=134;aulast=Senthilkumarciliochoroidal effusiondrug-induced angle closureescitalopramsecondary angle closure
spellingShingle Vijayalakshmi A Senthilkumar
Sujitha Ramesh
Escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion – An interesting case report
TNOA Journal of Ophthalmic Science and Research
ciliochoroidal effusion
drug-induced angle closure
escitalopram
secondary angle closure
title Escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion – An interesting case report
title_full Escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion – An interesting case report
title_fullStr Escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion – An interesting case report
title_full_unstemmed Escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion – An interesting case report
title_short Escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion – An interesting case report
title_sort escitalopram induced bilateral angle closure secondary to ciliochoroidal effusion an interesting case report
topic ciliochoroidal effusion
drug-induced angle closure
escitalopram
secondary angle closure
url http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2023;volume=61;issue=1;spage=132;epage=134;aulast=Senthilkumar
work_keys_str_mv AT vijayalakshmiasenthilkumar escitalopraminducedbilateralangleclosuresecondarytociliochoroidaleffusionaninterestingcasereport
AT sujitharamesh escitalopraminducedbilateralangleclosuresecondarytociliochoroidaleffusionaninterestingcasereport