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Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension
PURPOSE: We describe a patient with secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension. OBSERVATIONS: A 59 year-old male with pulmonary hypertension presented with vision loss and was noted to have bilateral engorged epibulbar vessels, blood in Schlemm...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451999/ https://www.ncbi.nlm.nih.gov/pubmed/32875159 http://dx.doi.org/10.1016/j.ajoc.2020.100878 |
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author | Gupta, Isha Haddock, Luis Greenfield, David S. |
author_facet | Gupta, Isha Haddock, Luis Greenfield, David S. |
author_sort | Gupta, Isha |
collection | PubMed |
description | PURPOSE: We describe a patient with secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension. OBSERVATIONS: A 59 year-old male with pulmonary hypertension presented with vision loss and was noted to have bilateral engorged epibulbar vessels, blood in Schlemm's canal, elevated intraocular pressure, retinal venous tortuosity and serous retinal detachments. Enhanced depth optical coherence tomography (ED-OCT) showed bilateral serous macular detachments with marked choroidal thickening. Fluorescein angiography and indocyanine green angiography revealed choroidal vascular congestion and engorgement. Improvement of subretinal fluid was achieved with systemic control of his venous hypertension, and the intraocular pressure responded to medical anti-glaucoma therapy. CONCLUSIONS: Pulmonary hypertension may be associated with secondary open-angle glaucoma, choroidal engorgement and serous macular detachment, and should be considered in the differential diagnosis of elevated episcleral venous pressure. Management of ocular complications is challenging and requires a multi-disciplinary approach. |
format | Online Article Text |
id | pubmed-7451999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-74519992020-08-31 Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension Gupta, Isha Haddock, Luis Greenfield, David S. Am J Ophthalmol Case Rep Case Report PURPOSE: We describe a patient with secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension. OBSERVATIONS: A 59 year-old male with pulmonary hypertension presented with vision loss and was noted to have bilateral engorged epibulbar vessels, blood in Schlemm's canal, elevated intraocular pressure, retinal venous tortuosity and serous retinal detachments. Enhanced depth optical coherence tomography (ED-OCT) showed bilateral serous macular detachments with marked choroidal thickening. Fluorescein angiography and indocyanine green angiography revealed choroidal vascular congestion and engorgement. Improvement of subretinal fluid was achieved with systemic control of his venous hypertension, and the intraocular pressure responded to medical anti-glaucoma therapy. CONCLUSIONS: Pulmonary hypertension may be associated with secondary open-angle glaucoma, choroidal engorgement and serous macular detachment, and should be considered in the differential diagnosis of elevated episcleral venous pressure. Management of ocular complications is challenging and requires a multi-disciplinary approach. Elsevier 2020-08-18 /pmc/articles/PMC7451999/ /pubmed/32875159 http://dx.doi.org/10.1016/j.ajoc.2020.100878 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Gupta, Isha Haddock, Luis Greenfield, David S. Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension |
title | Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension |
title_full | Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension |
title_fullStr | Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension |
title_full_unstemmed | Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension |
title_short | Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension |
title_sort | secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451999/ https://www.ncbi.nlm.nih.gov/pubmed/32875159 http://dx.doi.org/10.1016/j.ajoc.2020.100878 |
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