Multimodal imaging of indapamide-induced bilateral choroidal effusion: a case report
Shizuka Takahashi1, Shinichi Usui2, Noriyasu Hashida2
1Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. shizuka.yoshihara@gmail.com.
Indapamide, a diuretic for hypertension, can cause eye swelling. Multimodal imaging confirmed indapamide-induced eyeball edema, which resolved with treatment, highlighting the diagnostic value of imaging.
Area of Science:
- Ophthalmology
- Pharmacology
Background:
- Indapamide, a sulfonamide diuretic, is used for hypertension.
- Ocular side effects like glaucoma, myopia, and choroidal effusion are associated with indapamide.
Observation:
- A patient on indapamide developed eye pain and shallow anterior chambers.
- Diagnostic imaging revealed edema of the entire eyeball.
Findings:
- Multimodal imaging confirmed indapamide-induced eyeball edema.
- Treatment with tropicamide and phenylephrine hydrochloride led to rapid recovery.
Implications:
- Multimodal imaging is crucial for diagnosing drug-induced choroidal effusion.
- This case clarifies the mechanism of indapamide-induced ocular edema.
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