Multimodal imaging of hypertensive chorioretinopathy by swept-source optical coherence tomography and optical coherence tomography angiography: Case report. Issue 39 (September 2017)

• Record Type: Journal Article
• Authors: Rotsos, Tryfon; Andreanos, Konstantinos; Blounas, Stelios; Brouzas, Dimitrios; Ladas, Dimitrios S.; Ladas, Ioannis D.
• Other Names: Şahin. Alparslan section editor.
• Is Part Of: Medicine. Volume 96:Issue 39(2017)
• Publication Date: 2017-09
• Subjects: chorioretinopathy -- Elsching spots -- malignant hypertension -- optical coherence tomography angiography -- swept-source OCT; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000008110
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: To investigate malignant hypertension ocular lesions with swept source optical coherence tomography (SS-OCT) and optical coherence tomography angiography (OCT-A). Patient concerns: Visual loss due to malignant hypertension. Diagnoses: Hypertensive chorioretinopathy. Interventions: Patients were thoroughly examined on presentation and 30 days after their first visit, with swept-source optical coherence tomography and optical coherence tomography angiography. Outcomes: Lesions were totally absorbed during the follow-up time. Additionally, they presented fibrin deposits, as multiple solid hyper-reflective structures overlying retinal pigment epithelium, on both—SS-OCT and OCT-A. The last were still detected even larger in size at the last visit of the patients. Lessons: These novel imaging examinations allow the ophthalmologist to detect in detail the several clinical manifestations of malignant hypertension on the fundus, and draw useful conclusions about their peculiar pathogenesis.