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June 1991

Renal Hypertension Presenting as Acute Angle Closure Glaucoma

Author Affiliations

New Delhi, India

Arch Ophthalmol. 1991;109(6):776. doi:10.1001/archopht.1991.01080060032014

Nonpupillary block angle closure glaucoma has been reported in association with scleritis, Harada's disease, panretinal photocoagulation,1 arteriovenous fistula,2 acquired immunodeficiency syndrome, and nephropathia epidemica.3 We report herein the first case, to our knowledge, of acute angle closure glaucoma in a patient with renal hypertension.

Report of a Case.  —A 22-year-old woman presented with a 4-day history of suddenonset total visual loss in the left eye.The examination revealed a thin, cachectic woman; the only relevant systemic finding was an elevated blood pressure of 220/120 mm Hg. Best corrected visual acuity was 20/60 OD and absent light perception in the left eye. Marked chemosis of the inferior bulbar conjunctiva was evident with prominence of the left globe (Figure). The central anterior chamber depth was 2.5 mm in the right eye and 1.0 mm in the left eye.Ophthalmoscopy revealed a total exudative retinal detachment in the left

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