title: Bilateral acute angle closure glaucoma associated with hydrochlorothiazide-induced hyponatraemia.
abstract: We report a case of a 67-year-old woman presenting with bilateral acute angle closure. On investigation, she was found to have bilateral ciliary effusions and profound hyponatraemia. Her effusions resolved with the cessation of hydrochlorothiazide and normalisation of her blood sodium levels by fluid restriction. This case displays a novel association of hyponatraemia as a possible mechanism for the development of bilateral acute angle closure.
authors.affiliation: University of Ottawa Eye Institute, Ottawa, Ontario, Canada.
authors.forename: Sylvia H
authors.initials: SH
authors.lastname: Chen
authors.affiliation: University of Ottawa Eye Institute, Ottawa, Ontario, Canada Doheny Eye Institute, UCLA, Los Angeles, California, USA.
authors.forename: Rustum
authors.initials: R
authors.lastname: Karanjia
authors.affiliation: University of Ottawa Eye Institute, Ottawa, Ontario, Canada.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Chevrier
authors.affiliation: Doheny Eye Institute, UCLA, Los Angeles, California, USA.
authors.forename: David H
authors.initials: DH
authors.lastname: Marshall
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000097:blood / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis*; D006261:Headache / Q000209:etiology; D006801:Humans; D006852:Hydrochlorothiazide / Q000009:adverse effects*; D006973:Hypertension / Q000188:drug therapy; D007010:Hyponatremia / Q000097:blood / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis*
chemical_list: D000959:Antihypertensive Agents; D006852:Hydrochlorothiazide