ABSTRACT

As of June 2000, he was taking valproate 1 g twice daily, lamotrigine 100 mg twice daily and vigabatrin 1 g twice daily. His field defect remained stable.

This is the case of a mature man whose life had been devastated as a result of the consequences of epilepsy, with loss of marriage, job, independence and selfesteem. This has been successfully modified and reversed by combination therapy, including vigabatrin, but he was found to have visual field defects, presumed to be associated with vigabatrin.