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July 1996

Anterior-Segment Ultrasound Biomicroscopy in a Patient With AIDS and Bilateral Angle-closure Glaucoma Secondary to Uveal Effusions

Author Affiliations

Boston, Mass

Arch Ophthalmol. 1996;114(7):878-879. doi:10.1001/archopht.1996.01100140092018

Bilateral angle-closure glaucoma secondary to uveal effusions can be an initial symptom of the acquired immunodeficiency syndrome (AIDS).1,2 Patients have received aqueous suppressants, topical corticosteroids, cycloplegics, or a combination of these treatments. Occasionally, argon laser peripheral iridoplasty or surgical drainage of suprachoroidal fluid may open the angle when medical therapy fails.3,4 We report a case in which the effusions regressed spontaneously. In addition, we describe, for the first time to our knowledge, the use of anteriorsegment ultrasound biomicroscopy in such a patient.

Report of a Case.  A 35-year-old, white, homosexual man had decreased vision and a headache, which had lasted 2 days. His medical history was remarkable only for a positive result on the serological

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