Posters

Indapamide-induced bilateral choroidal effusion in pseudophakic patient: a case report

Poster Details

First Author: M.Phylactou UK

Co Author(s):    F. Matarazzo   E. Jones                 

Abstract Details

Purpose:

We describe a case of indapamide-induced bilateral choroidal effusion, first time reported in pseudophakic patient, associated with no change in visual acuity and stable refraction.

Setting:

Moorfields Eye Hospital

Methods:

A 70-year-old male was referred for ophthalmic assessment, complaining of binasal visual field defect for 2 days. He had been started on treatment with indapamide three weeks earlier. His past ophthalmic history included bilateral cataract surgery and intraocular lens (IOL) implant.

Results:

On ophthalmic examination, best-corrected visual acuity (BCVA) was 6/9 right and 6/6 left, intraocular pressure (IOP) was 10mmHg in both eyes and the bilateral nasal field defect was confirmed on confrontation. Fundal examination revealed bilateral choroidal effusions; b-scan ultrasonography was used to measure the extent of the choroidal detachment and the anterior chamber depth (ACD).

Conclusions:

Discontinuation of indapamide resulted in spontaneous resolution of choroidal effusion after three days. Our case is the first in the literature that describes bilateral choroidal effusion induced by indapamide in a pseudophakic patient. The lack of myopic shift likely resulted in a later presentation, enhancing the theory that lens thickening and/or accommodative spasm may play a crucial role in pathophysiology.

Financial Disclosure:

None