Sánchez-Sevila JL, Martínez-Rubio M, López-Meca I, Belmonte-Martínez J. Exudative retinal detachment and primary pulmonary hypertension.
ACTA ACUST UNITED AC 2013;
88:189-92. [PMID:
23623020 DOI:
10.1016/j.oftal.2012.04.021]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2011] [Revised: 03/19/2012] [Accepted: 04/08/2012] [Indexed: 12/12/2022]
Abstract
CASE REPORT
A 60 year old woman who was seen in the emergency department due to sudden loss of vision in left eye. The fundoscopy study showed exudative retinal detachment. The patient referred to dyspnea and peripheral edema of one year duration during the anamnesis. The systematic study revealed the existence of pulmonary hypertension, and she was given diuretic treatment (furosemide). After 48 h the detachment was resolved. Subsequent studies identified a primary pulmonary hypertension.
DISCUSSION
Exudative retinal detachment can be the first clinical sign of a serious disease like primary pulmonary hypertension. The ophthalmologist can be the first to detect this disease.
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