ANGLE-CLOSURE GLAUCOMA AS AN INITIAL PRESENTATION OF SYSTEMIC LUPUS-ERYTHEMATOSUS

Purpose: To study a patient with bilateral uveal effusions and seconda ry glaucoma as an initial manifestation of systemic lupus erythematosu s. Design: A case report. Methods: A case report. The patient presente d with bilateral uveal effusions and angle-closure glaucoma. A detaile d ocular examination with ultrasonography and a comprehensive medical evaluation with laboratory testing were performed.Results: The ocular examination revealed bilateral uveal effusions with angle-closure and elevated intraocular pressures. A systemic evaluation revealed bilater al pleural effusions and laboratory values consistent with systemic lu pus erythematosus, After medical and laser therapy failed to lower the intraocular pressure, partial thickness sclerectomies, linear scleros tomies, and choroidal drainage were successful in controlling the glau coma. Conclusions: Uveal effusion with secondary glaucoma can be a pre senting sign for systemic lupus erythematosus, If antecedent ocular ab normalities are not present, a systemic evaluation is warranted in ass essing a patient with uveal effusions and secondary angle-closure glau coma. Partial-thickness sclerectomies, linear sclerostomies, and choro idal drainage may be effective in lowering intraocular pressure.