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Hypertensive optic neuropathy and choroidopathy in an 18-year-old woman with renal failure
1From the Department of Ophthalmology, Bascom Palmer Eye Institute at Naples, Naples, Florida.
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.
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