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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


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.


Moorfields Eye Hospital


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.


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).


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.

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