TY - JOUR
T1 - Massive bilateral serous retinal detachment in a case of hypertensive chorioretinopathy
AU - Villalba-Pinto, Luis
AU - Hernández-Ortega, M. Ángeles
AU - Lavid De Los Mozos, F. Javier
AU - Pascual-Camps, Isabel
AU - Dolz-Marco, Rosa
AU - Arevalo, J. Fernando
AU - Gallego-Pinazo, Roberto
N1 - Publisher Copyright:
© 2014 S. Karger AG, Basel.
PY - 2014/5/22
Y1 - 2014/5/22
N2 - Introduction: Systemic high blood pressure is related to a variety of retinal manifestations. We present an atypical case of hypertensive chorioretinopathy with massive bilateral serous retinal detachment. Case Report: A 26-year-old male with a genitourinary malformation and secondary grade IV chronic kidney failure as well as high blood pressure complained of acute vision loss. Dilated fundus examination evidenced a bilateral serous retinal detachment with macular involvement. The patient was unresponsive to oral antihypertensive therapy and dialysis treatment. The serous retinal detachment progressively decreased after the restoration of dialysis and antihypertensive therapy. The final visual acuity was 0.50 in both eyes. Discussion: In cases of serous macular detachment, it is mandatory to rule out different systemic and ocular diseases. The presence of uncontrolled high blood pressure may produce aggressive bilateral retinal changes, thus hypertension must be under early and strict control in order to improve the visual outcomes.
AB - Introduction: Systemic high blood pressure is related to a variety of retinal manifestations. We present an atypical case of hypertensive chorioretinopathy with massive bilateral serous retinal detachment. Case Report: A 26-year-old male with a genitourinary malformation and secondary grade IV chronic kidney failure as well as high blood pressure complained of acute vision loss. Dilated fundus examination evidenced a bilateral serous retinal detachment with macular involvement. The patient was unresponsive to oral antihypertensive therapy and dialysis treatment. The serous retinal detachment progressively decreased after the restoration of dialysis and antihypertensive therapy. The final visual acuity was 0.50 in both eyes. Discussion: In cases of serous macular detachment, it is mandatory to rule out different systemic and ocular diseases. The presence of uncontrolled high blood pressure may produce aggressive bilateral retinal changes, thus hypertension must be under early and strict control in order to improve the visual outcomes.
KW - Hypertensive chorioretinopathy
KW - Optical coherence tomography
KW - Serous retinal detachment
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U2 - 10.1159/000364942
DO - 10.1159/000364942
M3 - Article
AN - SCOPUS:84929470377
SN - 1663-2699
VL - 5
SP - 190
EP - 194
JO - Case Reports in Ophthalmology
JF - Case Reports in Ophthalmology
IS - 2
ER -