1. Batman in the anterior chamber: Retracting fibrin on anterior segment optical coherence tomography

    Batman in the anterior chamber: Retracting fibrin on anterior segment optical coherence tomography

    A 45-year-old female developed a bilateral grade 4 anterior chamber (AC) inflammation after using topiramate 100 mg once daily for 1 week for her epilepsy. Her best-corrected visual acuity (BCVA) was counting fingers close to face (CFCF) in both eyes. Topiramate was discontinued [1] and she was started on intense topical steroids and cycloplegics. At 1 week, her BCVA improved to 20/60 and AC showed reduced reaction with retracting fibrin [Figure 1] a. An AS-OCT showed multiple hyperreflective dots [2] (cells) surrounded by a boundary of fused hyperreflective dots [Figure 1] b suggestive of enmeshed coagulum of fibrin (yellow ...

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