Hypertensive optic neuropathy and choroidopathy in an 18-year-old woman with renal failure

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Abstract

Purpose: To describe hypertensive optic neuropathy and choroidopathy caused by renal failure in an 18-year-old woman. Methods: The clinical and angiographic findings of a young patient with hypertensive optic neuropathy and choroidopathy caused by hypertensive emergency secondary to renal failure are described. Results: The patient's visual acuity, bilateral optic nerve swelling, and macular edema improved with blood pressure control. Several small areas of exudative retinal detachment remain. Conclusion: Accelerated or malignant hypertension is a common cause of bilateral optic nerve swelling and exudative retinal detachments. Treatment of systemic hypertension is essential in reversing the ocular manifestations of the condition.

Original languageEnglish (US)
Pages (from-to)187-189
Number of pages3
JournalRetinal Cases and Brief Reports
Volume4
Issue number2
DOIs
StatePublished - Mar 1 2010

Keywords

  • Exudative retinal detachment
  • Hypertensive choroidopathy
  • Hypertensive emergency
  • Hypertensive optic neuropathy
  • Hypertensive retinopathy
  • Malignant hypertension
  • Optic nerve swelling

ASJC Scopus subject areas

  • Ophthalmology

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