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Hypertension as an Unusual Cause of Proliferative Retinopathy: Case Report and Literature Review

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Version 2 2023-11-27, 11:18
Version 1 2023-07-04, 11:39
journal contribution
revised on 2023-11-27, 11:18 and posted on 2023-11-27, 11:18 authored by Rami Hasan Saleem Abu Sbeit, Osman Abdelzaher Mohammed, Laith Ishaq Alamlih

Malignant hypertensive retinopathy is associated with characteristic fundus findings that typically do not include proliferative retinal vascular changes. We present the case of a 34-year-old patient who had bilateral decreased vision and was found to have malignant hypertension with hypertensive retinopathy changes along with unforeseen bilateral neovascularization and vitreous hemorrhage. Detailed history and extensive systemic and ophthalmic workup failed to reveal an alternative explanation for her proliferative retinopathy. Blood pressure control and panretinal photocoagulation halted further deterioration. Malignant hypertensive retinopathy can rarely cause profound retinal ischemia leading to retinal neovascularization. This case further supports the presence of “proliferative hypertensive retinopathy” that needs to be identified and addressed urgently through collaboration between internists and ophthalmologists. 

Other Information

Published in: Case Reports in Ophthalmology
License: https://creativecommons.org/licenses/by-nc/4.0/
See article on publisher's website: http://dx.doi.org/10.1159/000515284 

Funding

Open Access funding provided by the Qatar National Library.

History

Language

  • English

Publisher

Karger

Publication Year

  • 2021

License statement

This Item is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License.

Institution affiliated with

  • Hamad Medical Corporation

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    Hamad Medical Corporation

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