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


CONCLUSIONS
Primary pulmonary hypertension may cause uveal effusion, leading to a forward displacement of the lens-iris diaphragm and intermittent angle-closure glaucoma.
Krohn
Jørgen
J
Department of Ophthalmology, University of Bergen, Norway. jorgen.krohn@helse-bergen.no
Bjune
Christian
C
D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D003228:Conjunctiva / Q000098:blood supply; D015715:Corneal Edema / Q000209:etiology; D004108:Dilatation, Pathologic / Q000209:etiology; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D007429:Intraocular Pressure; D019808:Losartan / Q000627:therapeutic use; D010146:Pain / Q000209:etiology; D012590:Sclera / Q000098:blood supply; D014603:Uveal Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D000959:Antihypertensive Agents; D019808:Losartan