Abstract:
PURPOSE:To report a patient with uveal effusion and intermittent angle-closure glaucoma associated with primary pulmonary hypertension. METHODS:Observational case report. RESULTS:A 78-year-old woman with primary pulmonary hypertension noticed pain and decreased vision in her right eye. Ocular examination disclosed excessive dilation of conjunctival and episcleral veins and uveal effusion with annular ciliochoroidal detachment in both eyes. The right eye revealed corneal edema with folds in the Descemet membrane, congested iris vessels, and a markedly shallow anterior chamber with a partially closed angle, corresponding to a recent attack of angle-closure glaucoma. Systemic treatment of her congestive heart failure with an angiotensin-II receptor antagonist resulted in a partial resolution of the uveal effusion and complete normalization of the anterior chamber depth. CONCLUSION:Primary pulmonary hypertension may cause uveal effusion, leading to a forward displacement of the lens-iris diaphragm and intermittent angle-closure glaucoma.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Krohn J,Bjune Cdoi
10.1016/s0002-9394(02)02090-1subject
Has Abstractpub_date
2003-05-01 00:00:00pages
705-6issue
5eissn
0002-9394issn
1879-1891pii
S0002939402020901journal_volume
135pub_type
杂志文章abstract:PURPOSE:To develop a rapid, sensitive, and specific laboratory assay based on the polymerase chain reaction for the diagnosis of varicella-zoster virus retinitis in patients with acquired immunodeficiency syndrome (AIDS). METHODS:We developed and tested a polymerase chain reaction-based assay for the detection of vari...
journal_title:American journal of ophthalmology
pub_type: 临床试验,杂志文章
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journal_title:American journal of ophthalmology
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