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Updated: Feb 22, 2026

Multimodal Volumetric Retinal Imaging by Oblique Scanning Laser Ophthalmoscopy oSLO and Optical Coherence Tomography OCT
Published on: August 4, 2018
Multimodal imaging of hypertensive chorioretinopathy by swept-source optical coherence tomography and optical
Tryfon Rotsos1, Konstantinos Andreanos, Stelios Blounas
1A' Department of Ophthalmology, University of Athens, General Hospital of Athens, Athens, Greece Moorfield's Eye Hospital, London, UK.
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.

