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Choroidal Detachment and Increased Intraocular Pressure in a Case of Secondary Pulmonary Hypertension

Lei, Xunwen, MD*,†,‡,§; Zhang, Jinzhi, MB; Li, Qiang, MB; Liu, Yang, MD*,†; Pu, Donghui, MB*,†; Jin, Xin, MB*,†; Yang, Kehu, MD, PhD*,†,‡,§

doi: 10.1097/IJG.0000000000001090
Online Articles: Case Report/Small Case Series
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Purpose: To report a case of secondary pulmonary hypertension, choroidal detachment, and increased intraocular pressure (IOP) in a patient with a congenital ventricular septal defect.

Methods: This is a case report.

Patient: A 36-year-old man with congenital ventricular septal defect developed dilated and congested conjunctival and episcleral veins, high IOP, and choroidal detachment.

Results: The right eye had secondary glaucoma, myopia, and choroidal detachment. He had severe pulmonary hypertension and decreased heart function. After successful treatment for heart failure, IOP was reduced, the refractive state returned to normal, choroidal detachment was reversed, and visual acuity improved.

Conclusions: Secondary pulmonary hypertension resulting from a congenital ventricular septal defect caused serious optic abnormalities that resolved substantially with appropriate treatment of the pulmonary hypertension.

*The First Hospital of Lanzhou University

The First Clinical Medical College of Lanzhou University

Evidence-Based Medicine Center, School of Basic Medical Sciences of Lanzhou University

§Key Laboratory of Evidence-Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, China

Disclosure: The authors declare no conflict of interest.

Reprints: Kehu Yang, MD, PhD, The First Hospital of Lanzhou University, Lanzhou 730000, China (e-mail: kehuyangebm2006@126.com).

Received May 17, 2018

Accepted September 8, 2018

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