Elevated intraocular pressure and myopic shift linked to topiramate use.

Purpose: The purpose of this report is to describe acute myopia as an ocular adverse reaction to topiramate (Topamax, Ortho-McNeil, Raritan, NJ) and discuss the importance of recognizing this syndrome.

Methods: Retrospective case report and brief review of the literature.

Results: A 27-year-old female patient developed decreased vision in both eyes due to acute myopia 2 weeks of after initiating therapy with topiramate.

Purtscher-like retinopathy in a patient with HELLP syndrome.

Purpose: To report the antepartum presentation of Purtscher-like retinopathy and hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome that resulted in severe permanent visual loss.

Design: Interventional case report.

Methods: A 25-year-old primigravida patient at 38.

Polypoidal choroidal vasculopathy.

Background: Polypoidal choroidal vasculopathy (PCV) is a unique form of occult choroidal neovascular membrane. The clinical presentation and angiographic findings distinguish idiopathic PCV from other known neovascular and choroidal degenerative disorders. The characteristic morphology of PCV includes the presence of a branching network of inner choroidal vessels with terminal aneurysmal dilations.