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Abstract #80590 Published in IGR 20-3
Ocular manifestations of pulmonary hypertension
Lewczuk N; Zdebik A; Bogusławska J; Turno-Kręcicka A; Misiuk-Hojło MSurvey of Ophthalmology 2019; 64: 694-699
Pulmonary hypertension, if left untreated, may result in increasing cardiac back pressures and lead to right heart failure and death. An increase in venous pressure in cases of pulmonary hypertension influences other organs. Ocular complications occur as a result of elevated venous pressure in the superior vena cava and in the ophthalmic veins, which cause dilation of the ocular veins, resulting in congestion of the choroid and leading to complications such as ciliary detachment, central retinal vein occlusion, acute serous retinal detachment, macular edema, retinal neovascularization, choroidal effusions, chemosis, angle-closure glaucoma, transient myopia, and proptosis. Other ophthalmic disorders are the results of side effects of treatment. Patients may present primarily to an ophthalmologist, who may diagnose these diseases. Patients with pulmonary hypertension should be taught careful self-observation of visual function, and if it deteriorates, they should immediately report this to an ophthalmologist. Before initiation of any target-oriented therapy, the patient must be informed about possible sight-threatening complications. We review ophthalmological disorders that may develop in the course of pulmonary hypertension and emphasize multidisciplinary cooperation.
Department and Clinic of Ophthalmology, Wroclaw Medical University, Wrocław, Poland.
Full articleClassification:
9.4.9 Glaucomas associated with elevated episcleral venous pressure (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
