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

Background: Primary pulmonary arterial hypertension is a rare systemic condition that may present with distinct ocular findings.
Purpose: To report a patient whose ophthalmic manifestations led to a diagnosis of pulmonary arterial hypertension.
Results: 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.
Conclusion: To our knowledge, this is the first reported case in which an ophthalmic evaluation led to the diagnosis of pulmonary arterial hypertension.