Hypertensive Proliferative Choriorretinopathy

Area of Science:

• Ophthalmology
• Vascular Medicine

Background:

• Hypertensive chorioretinopathy is a serious complication of uncontrolled hypertension.
• Anterior segment neovascularization can arise secondary to retinal ischemia.

Purpose of the Study:

• To present a case of hypertensive chorioretinopathy with anterior segment neovascularization.
• To evaluate treatment response, particularly to panretinal photocoagulation (PRP).

Main Methods:

• Case report detailing a patient with severe, uncontrolled hypertension.
• Diagnostic imaging included fundoscopy, fluorescein angiography, and indocyanine green angiography.
• Treatment involved intravitreal anti-VEGF injections and PRP.

Main Results:

• The patient presented with progressive vision loss and anterior segment neovascularization.
• Angiography confirmed severe retinal ischemia and delayed choroidal perfusion.
• PRP and anti-VEGF initially controlled neovascularization, but it recurred, necessitating further anti-VEGF therapy.

Conclusions:

• Choroidal ischemia in hypertensive chorioretinopathy may be refractory to PRP.
• Effective management requires stringent systemic hypertension control.
• Regular monitoring is crucial to prevent vision-threatening complications.