التفاصيل البيبلوغرافية
| العنوان: |
Hydrochlorothiazide-Induced Hyponatremia: A Bilateral Acute Angle Closure Glaucoma Case Report ; Hiponatrémia-Induzida-por-Hidroclorotiazida: Um Caso Clínico de Glaucoma Agudo de Ângulo Fechado Bilateral |
| المؤلفون: |
Teixeira, Sofia, Meira, Dália, Rothwell, Renata |
| المصدر: |
Revista Sociedade Portuguesa de Oftalmologia; Vol. 47 No. 4 (2023); 281-284 ; Revista Sociedade Portuguesa de Oftalmologia; Vol. 47 N.º 4 (2023); 281-284 ; 1646-6950 |
| بيانات النشر: |
Ajnet |
| سنة النشر: |
2023 |
| المجموعة: |
SARC - Serviço de Alojamento de Revistas Científicas (RCAAP - Repositório Científico de Acesso Aberto de Portugal) |
| مصطلحات موضوعية: |
Antihypertensive Agents/adverse effects, Glaucoma, Angle-Closure/chemically induced, Hydrochlorothiazide/adverse effects, Hyponatremia/chemically induced, Anti-Hipertensivos/efeitos adversos, Glaucoma de Ângulo Fechado/ induzido quimicamente, Hidroclorotiazida/efeitos adversos, Hiponatrémia/induzida quimicamente |
| الوصف: |
Our objective is to report a case of bilateral acute glaucoma associated with hydrochlorothi-azide-induced hyponatremia. An 83-year-old female patient, with arterial hypertension history, presented with severe ocular pain and decreased vision in both eyes, associated with headache, nausea and vomiting. On examination, visual acuity was counting fingers in both eyes. Biomicroscopy showed ciliary hyperemia, marked corneal edema and shallow anterior chamber. Intraocular pressure (IOP) was 59/68 mmHg. Gonioscopy revealed bilateral angle closure and UBM ciliary body effusion. Antihypertensive eye drops and intravenous mannitol were started. Blood tests revealed profound hyponatremia and hypochloremia. After electrolyte stability, laser iridoplasty was performed in both eyes, and previous hydrochlorothiazide prescription was suspended. Thereafter, progressive clinic improvement was verified, with IOP normalization. Bilateral acute angle closure has been associated with sulfonamide derivative medications. The development of bilateral ciliary effusions and angle closure potentially due to hydrochloro-thiazide-induced-hyponatremia, had been reported only once in literature. ; O nosso objetivo é relatar um caso de glaucoma agudo bilateral associado à hiponatremia induzida por hidroclorotiazida. Paciente do sexo feminino, 83 anos, com antecedentes de hipertensão arterial, apresenta dor ocular intensa e diminuição da visão em ambos os olhos, associada a cefaleia, náuseas e vômitos. Ao exame físico, apresentava acuidade visual de conta dedos em ambos os olhos. A biomicroscopia revelou hiperemia ciliar, edema corneano acentuado e câmara anterior plana. A pressão intraocular (PIO) era de 59/68 mmHg. A gonioscopia mostrou ângulo fechado bilateralmente e a UBM efusão do corpo ciliar. Foram iniciados colírios anti-hipertensivos e manitol endovenoso. O estudo analítico revelou hiponatremia profunda e hipocloremia. Após estabilidade eletrolítica, foi realizada iridoplastia laser bilateral, sendo suspensa a prescrição prévia de ... |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| العلاقة: |
https://revistas.rcaap.pt/oftalmologia/article/view/29824/23449Test; https://revistas.rcaap.pt/oftalmologia/article/view/29824Test |
| الإتاحة: |
https://revistas.rcaap.pt/oftalmologia/article/view/29824Test |
| حقوق: |
Direitos de Autor (c) 2023 Revista Sociedade Portuguesa de Oftalmologia ; https://creativecommons.org/licenses/by/4.0Test |
| رقم الانضمام: |
edsbas.9C8FBAD4 |
| قاعدة البيانات: |
BASE |
