TY - JOUR
T1 - Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension
AU - Gupta, Isha
AU - Haddock, Luis
AU - Greenfield, David S.
N1 - Funding Information:
Financial Funding/Support: P30EY014801 University of Miami core grant; Research to Prevent Blindness unrestricted grant, New York, New York; an unrestricted grant from Mr. and Mrs. Thorne B. Donnelley, Chicago, IL, and the Maltz Family Endowment for Glaucoma Research, Cleveland, Ohio.
Publisher Copyright:
© 2020 The Authors
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/12
Y1 - 2020/12
N2 - 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.
AB - 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.
KW - Episcleral venous pressure
KW - Pulmonary hypertension
KW - Secondary open angle glaucoma
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U2 - 10.1016/j.ajoc.2020.100878
DO - 10.1016/j.ajoc.2020.100878
M3 - Article
AN - SCOPUS:85089803766
VL - 20
JO - American Journal of Ophthalmology Case Reports
JF - American Journal of Ophthalmology Case Reports
SN - 2451-9936
M1 - 100878
ER -