Uveal effusion and angle-closure glaucoma in primary pulmonary hypertension.

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 Ophthalmol

authors

Krohn J,Bjune C

doi

10.1016/s0002-9394(02)02090-1

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

705-6

issue

5

eissn

0002-9394

issn

1879-1891

pii

S0002939402020901

journal_volume

135

pub_type

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