Exudative retinal detachment and angle closure glaucoma as the presenting signs of primary pulmonary hypertension

Primary pulmonary arterial hypertension is a rare systemic condition that may present with distinct ocular findings.

To report a patient whose ophthalmic manifestations led to a diagnosis of pulmonary arterial hypertension.

A 58-year-old woman presented with bilateral serous detachments, angle closure, dilated episcleral blood vessels, subretinal drusenoid-like deposits, and intraretinal hemorrhages. She was diagnosed with pulmonary arterial hypertension. Her ocular findings resolved once her underlying systemic disorder had been treated.

To our knowledge, this is the first reported case in which an ophthalmic evaluation led to the diagnosis of pulmonary arterial hypertension.