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KMID : 0213520110250030214
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Korean Journal of Ophthalmology
2011 Volume.25 No. 3 p.214 ~ p.217
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Acute-Onset Bilateral Myopia and Ciliochoroidal Effusion Induced by Hydrochlorothiazide
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Roh Young-Rae
Woo Se-Joon
Park Kyu-Hyung
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Abstract
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The authors experienced two cases of hydrochlorothiazide (HCTZ)-induced acute-onset bilateral myopia and shallowing of the anterior chambers. Two middle-aged women taking HCTZ, a sulfa derivative, visited our clinic complaining of acute bilateral visual deterioration. Both had good visual acuity without corrective lenses before taking HCTZ. A complete ophthalmologic examination revealed bilateral myopic shift, intraocular pressure elevation, shallowing of the anterior chambers, choroidal effusions, radiating retinal folds, and conjunctival chemosis. Approximately one week after HCTZ discontinuance, all ocular changes disappeared completely. Physicians should be aware of the adverse ocular effects of HCTZ and should manage patients accordingly.
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KEYWORD
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Angle closure, Ciliochoroidal effusion, Drug-induced myopia, Hydrochlorothiazide, Myopia
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