A case study of ciliary detachment with primary pulmonary hypertension.

Abstract:

PURPOSE:To introduce a case of ciliary detachment with primary pulmonary hypertension (PPH). METHODS:The clinical manifestations of a case of ciliary detachment with PPH were addressed by comprehensive examination including ultrasound biological microscope (UBM), intraocular pressure, color fundus photographs, fluorescence fundus angiography (FFA). In addition, echocardiography is used to measure primary pulmonary pressure. RESULTS:When the echocardiography displayed a systolic pulmonary arterial pressure of 106 mmHg, UBM exhibited ciliochoroidal detachment, as well as peripheral retinal effusion and non-perfusion areas in FFA. After well controlled of PPH, UBM showed normal ciliary body. FFA confirmed that retinal effusion disappeared. CONCLUSIONS:The elevated venous pressure in PPH is responsible for decreased choroidal backflow and reduced venous blood outflow from the eye. PPH would contribute to the clinical manifestations of severe choroidal detachment and peripheral retina effusion in this patient.

journal_name

Int Ophthalmol

authors

Feng Z,Dong L,Cao J,Bai J,Yang MM,Zheng Y,Lin D

doi

10.1007/s10792-017-0443-4

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

375-379

issue

1

eissn

0165-5701

issn

1573-2630

pii

10.1007/s10792-017-0443-4

journal_volume

38

pub_type

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