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Massive bilateral serous retinal detachment in a case of hypertensive chorioretinopathy.

Villalba-Pinto L, Hernández-Ortega MÁ, de Los Mozos FJ, Pascual-Camps I, Dolz-Marco R, Arevalo JF, Gallego-Pinazo R - Case Rep Ophthalmol (2014)

Bottom Line: 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.The final visual acuity was 0.50 in both eyes.In cases of serous macular detachment, it is mandatory to rule out different systemic and ocular diseases.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Hospital Punta Europa, Algeciras, University and Polytechnic Hospital La Fe, Valencia, Spain.

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.

No MeSH data available.


Related in: MedlinePlus

Complete macula-off serous retinal detachment with lower lobulated giant exudative retinal elevation (a–d). OCT scans showing serous macular detachment in both eyes (e, f).
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Figure 1: Complete macula-off serous retinal detachment with lower lobulated giant exudative retinal elevation (a–d). OCT scans showing serous macular detachment in both eyes (e, f).

Mentions: His VA was ‘hand motions’ in both eyes. The anterior segment examination revealed bilateral subconjunctival hemorrhage with no signs of intraocular inflammation. Dilated fundus examination evidenced serous retinal detachment with macular involvement (fig. 1a–d). No retinal tears were observed in the peripheral retina examination with scleral depression. However, curvilinear whitish lesions scattered throughout the peripheral retina were observed. Optical coherence tomography (OCT) scans confirmed the presence of subretinal fluid in the macular region (fig. 1e–f).


Massive bilateral serous retinal detachment in a case of hypertensive chorioretinopathy.

Villalba-Pinto L, Hernández-Ortega MÁ, de Los Mozos FJ, Pascual-Camps I, Dolz-Marco R, Arevalo JF, Gallego-Pinazo R - Case Rep Ophthalmol (2014)

Complete macula-off serous retinal detachment with lower lobulated giant exudative retinal elevation (a–d). OCT scans showing serous macular detachment in both eyes (e, f).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4127544&req=5

Figure 1: Complete macula-off serous retinal detachment with lower lobulated giant exudative retinal elevation (a–d). OCT scans showing serous macular detachment in both eyes (e, f).
Mentions: His VA was ‘hand motions’ in both eyes. The anterior segment examination revealed bilateral subconjunctival hemorrhage with no signs of intraocular inflammation. Dilated fundus examination evidenced serous retinal detachment with macular involvement (fig. 1a–d). No retinal tears were observed in the peripheral retina examination with scleral depression. However, curvilinear whitish lesions scattered throughout the peripheral retina were observed. Optical coherence tomography (OCT) scans confirmed the presence of subretinal fluid in the macular region (fig. 1e–f).

Bottom Line: 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.The final visual acuity was 0.50 in both eyes.In cases of serous macular detachment, it is mandatory to rule out different systemic and ocular diseases.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Hospital Punta Europa, Algeciras, University and Polytechnic Hospital La Fe, Valencia, Spain.

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.

No MeSH data available.


Related in: MedlinePlus