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Lipa RK, Sánchez ME, Ordovas CA, et al. Circumscribed Ciliochoroidal Effusion Presenting as an Acute Angle Closure Attack. J Ophthalmic Vis Res. 2017;12(1):117-119doi: 10.4103/jovr.jovr_99_14.
Lipa, R. K., Sánchez, M. E., Ordovas, C. A., Aragües, A. R., & Borque, C. G. (2017). Circumscribed Ciliochoroidal Effusion Presenting as an Acute Angle Closure Attack. Journal of ophthalmic & vision research, 12(1), 117-119. https://doi.org/10.4103/jovr.jovr_99_14
Lipa, Roslyn Kathryn Manrique, et al. "Circumscribed Ciliochoroidal Effusion Presenting as an Acute Angle Closure Attack." Journal of ophthalmic & vision research vol. 12,1 (2017): 117-119. doi: https://doi.org/10.4103/jovr.jovr_99_14
Lipa RK, Sánchez ME, Ordovas CA, Aragües AR, Borque CG. Circumscribed Ciliochoroidal Effusion Presenting as an Acute Angle Closure Attack. J Ophthalmic Vis Res. 2017 Jan-Mar;12(1):117-119. doi: 10.4103/jovr.jovr_99_14. PMID: 28299016; PMCID: PMC5340052.
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J Ophthalmic Vis Res. 2017 Jan-Mar;12(1):117-119. doi: 10.4103/jovr.jovr_99_14.

Circumscribed Ciliochoroidal Effusion Presenting as an Acute Angle Closure Attack.

Journal of ophthalmic & vision research

Roslyn Kathryn Manrique Lipa, María Eugenia González Sánchez, Carlos Antonio Hijar Ordovas, Abel Rojo Aragües, Carmen Garcia Borque

Affiliations

  1. Department of Ophthalmology, St. Barbara Hospital of Soria, Soria, Spain.

PMID: 28299016 PMCID: PMC5340052 DOI: 10.4103/jovr.jovr_99_14

Abstract

PURPOSE: To report a case of choroidal effusion probably caused by angiotensin receptor II blocker.

CASE REPORT: A 52-year-old man with aplastic anemia and high blood pressure who developed unilateral acute angle closure glaucoma after receiving oral cyclosporine and angiotensin II receptor blocker (losartan). Ophthalmic examination revealed visual acuity of 20/30 in the left eye, mild mydriasis, iris bombe, no anterior chamber reaction, mild conjunctival hyperemia, and the intraocular pressure of 30 mmHg. After laser YAG iridotomy, funduscopy was performed showing a choroidal circumscribed lesion at the inferotemporal quadrant. Diagnostic tests ruled out any inflammatory or malignancy process, and the choroidal lesion spontaneously disappeared. After 20 months of follow-up, patient's ocular remained stable.

CONCLUSION: This is the third case of choroidal effusion associated with angiotensin II receptor blockers. Since idiosyncratic ciliochoroidal effusion is a diagnosis of exclusion, it is mandatory to rule out more frequent causes, such as inflammatory or malignant processes.

Keywords: Angiotensin II Receptor Blocker; Angle Closure Attack; Ciliochoroidal Effusion

Conflict of interest statement

There are no conflicts of interest.

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