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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Ophthalmol+Case+Rep
2018 ; 11
(ä): 84-86
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Transient myopic shift due to ciliary body detachment as the sole ocular
manifestation of hypertensive emergency - A case report
#MMPMID30014051
Chan W
; Zhao SX
; Winter A
; Lakosha H
; Gupta RR
Am J Ophthalmol Case Rep
2018[Sep]; 11
(ä): 84-86
PMID30014051
show ga
PURPOSE: Hypertensive emergency usually presents to ophthalmologists in the form
of hypertensive retinopathy. We present a case of hypertensive emergency that
presented as bilateral transient myopic shift due to ciliary body detachment in
the absence of any retinal pathology. The purpose of this paper is to showcase
another ocular manifestation of hypertensive emergency. OBSERVATIONS: A 35
year-old female with a blood pressure of 192/114?mmHg presented to the emergency
department with headache and acute onset blurry vision. Computed Tomography (CT)
of the head, and lumbar puncture were within normal limits. Visual acuity was
counting fingers in the right eye and 6/90 in the left eye, both of which
improved to 6/9 with -5.00 diopters spherical correction in the right eye, and
-4.75 diopters correction in the left eye. Intraocular pressures were normal.
Anterior chambers were shallow, and there were no retinal changes on dilated
fundus examination. Enhanced-depth optical coherence tomography (EDI-OCT) showed
bilateral increased choroidal thickness and ultrasound biomicroscopy (UBM) showed
360° ciliary body detachment with angle closure. With improved blood pressure
control, her ciliary body detachment resolved and her refractive error returned
to baseline. CONCLUSIONS: & Importance: Hypertensive emergency may present with
choroidal thickening with anterior ciliary body rotation and detachment. A review
of medications is important, as this presentation has also been reported as a
rare side effect of sulphonamide drugs. In the absence of retinopathy, UBM and
EDI-OCT imaging should be considered in the acutely hypertensive patient
presenting with myopic shift.