Massive bilateral serous retinal detachment in a case of hypertensive chorioretinopathy

Luis Villalba-Pinto, M. Ángeles Hernández-Ortega, F. Javier Lavid De Los Mozos, Isabel Pascual-Camps, Rosa Dolz-Marco, J. Fernando Arevalo, Roberto Gallego-Pinazo

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)190-194
Number of pages5
JournalCase Reports in Ophthalmology
Volume5
Issue number2
DOIs
StatePublished - May 22 2014

Keywords

  • Hypertensive chorioretinopathy
  • Optical coherence tomography
  • Serous retinal detachment

ASJC Scopus subject areas

  • Ophthalmology

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    Villalba-Pinto, L., Hernández-Ortega, M. Á., Lavid De Los Mozos, F. J., Pascual-Camps, I., Dolz-Marco, R., Arevalo, J. F., & Gallego-Pinazo, R. (2014). Massive bilateral serous retinal detachment in a case of hypertensive chorioretinopathy. Case Reports in Ophthalmology, 5(2), 190-194. https://doi.org/10.1159/000364942