Optical coherence tomography angiography findings in malignant hypertensive retinopathy

A 33-year-old male presented to our clinic with low vision in both eyes that started during the previous week. Visual acuity was 20/63 in the right eye and 20/50 in the left eye. Fundus examination revealed signs of hypertensive retinopathy; thus, a multidisciplinary approach was adopted for the dia...

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Bibliographic Details
Published in:Arquivos brasileiros de oftalmologia 2019-01, Vol.82 (1), p.72-77
Main Authors: Dogan, Berna, Akıdan, Melih, Erol, Muhammet Kazım, Coban, Deniz Turgut, Suren, Elcin
Format: Article
Language:eng ; por
Subjects:
Adult
Angiography - methods
Capillaries - diagnostic imaging
Capillaries - pathology
Disease Progression
Humans
Hypertension, Malignant - diagnostic imaging
Hypertension, Malignant - pathology
Hypertensive Retinopathy - diagnostic imaging
Hypertensive Retinopathy - pathology
Male
OPHTHALMOLOGY
Renal Insufficiency, Chronic
Retinal Vessels - diagnostic imaging
Retinal Vessels - pathology
Time Factors
Tomography, Optical Coherence - methods
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Summary:A 33-year-old male presented to our clinic with low vision in both eyes that started during the previous week. Visual acuity was 20/63 in the right eye and 20/50 in the left eye. Fundus examination revealed signs of hypertensive retinopathy; thus, a multidisciplinary approach was adopted for the diagnosis and treatment of this patient. We consulted the nephrology and cardiology departments on this case. Upon diagnosing malignant hypertension and renal failure, the patient was put on hemodialysis. His visual acuity was 20/20 at 6 months, whereas foveal assessment on optical coherence tomography angiography revealed neither marked superficial and deep capillary density loss and foveal avascular zone enlargement nor a decrease in disc flow and radial peripapillary capillary density. Early diagnosis and treatment of malignant hypertension are critical in preventing progression of end-organ damage including the eyes. Optical coherence tomography angiography may be useful in cases when fundus fluorescein angiography is relatively contraindicated (e.g., renal failure).
ISSN:0004-2749
1678-2925
1678-2925
DOI:10.5935/0004-2749.20190015