Winter Gelareh, Schaudig Ulrich, Stemplewitz Birthe
Klinik für Augenheilkunde, Asklepios Klinik Barmbek, Rübenkamp 220, 22307, Hamburg, Deutschland.
Ophthalmologe. 2021 Mar;118(3):273-275. doi: 10.1007/s00347-020-01091-9.
Uveal effusion can lead to anterior swelling of the choroid up to angle-closure glaucoma. This article reports the case of a 57-year-old male patient who presented with headache, vertigo and bilaterally reduced visual acuity. The examination showed a myopic shift and angle-closure glaucoma caused by uveal effusion. The medical history revealed that 3 days before the appearance of the symptoms, treatment with chlorthalidone was added to the antihypertensive medication. After discontinuation of the chlorthalidone intake the uveal effusion and its concomitant symptoms disappeared without residues.
脉络膜渗漏可导致脉络膜前部肿胀，直至闭角型青光眼。本文报告了一例57岁男性患者，该患者出现头痛、眩晕和双侧视力下降。检查显示近视性移位和脉络膜渗漏引起的闭角型青光眼。病史显示，在症状出现前3天，在抗高血压药物中加用了氯噻酮。停用氯噻酮后，脉络膜渗漏及其伴随症状消失，无残留。
