Bilateral angle-closure glaucoma associated with uveal effusion: presenting sign of HIV infection

A 40-year-old homosexual man presented with acute myopia and bilateral angle-closure glaucoma. Recognition of an anterior chamber configuration of a modestly shallowed central chamber with marked peripheral shallowing clinically suggested uveal effusion. B-scan echography provided definitive, confirmatory evidence of diffuse choroidal thickening with ciliochoroidal effusion. Treatment with aqueous suppressants, cycloplegics, and topical steroids resulted in complete resolution of the angle closure and reversal of induced myopia. The patient, who was systemically well without signs of AIDS or AIDS-related complex, was later tested and found to be serologically-positive for the human immunodeficiency virus.