Optical Coherence Tomography Angiography Findings in Malignant Hypertensive Retinopathy

Abstract Background: To report the findings of fluorescein angiography (FA) and optical coherence tomography angiography (OCTA) in a patient with malignant hypertensive retinopathy. Case Report: A 41year-old male was referred to our clinic with sudden visual loss in both of his eyes after an acute r...

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Main Authors: Ahmad Mirshahi, Reza Karkhaneh, Ramak Roohipour, Mohammadbagher Rajabi, Zakieh Vahedian, Fatemeh Bazvand
Format: Article
Language:English
Published: Knowledge E 2022-08-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:https://doi.org/10.18502/jovr.v17i3.11583
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author Ahmad Mirshahi
Reza Karkhaneh
Ramak Roohipour
Mohammadbagher Rajabi
Zakieh Vahedian
Fatemeh Bazvand
author_facet Ahmad Mirshahi
Reza Karkhaneh
Ramak Roohipour
Mohammadbagher Rajabi
Zakieh Vahedian
Fatemeh Bazvand
author_sort Ahmad Mirshahi
collection DOAJ
description Abstract Background: To report the findings of fluorescein angiography (FA) and optical coherence tomography angiography (OCTA) in a patient with malignant hypertensive retinopathy. Case Report: A 41year-old male was referred to our clinic with sudden visual loss in both of his eyes after an acute rise of blood pressure (200/150 mmHg). Optic disc swelling, flame shape hemorrhages especially around the optic disc, arterial narrowing, vessel tortuosity, cotton wool spots, hard exudate deposition, and multiple deep orange spots (Elschnig spots) were visible in both eyes. In the OCTA, disruption in the normal tapering patterns of the superficial and deep capillary plexuses was observed. Elschnig spots were observed as hypointense spots in the choriocapillaris slab. Leakage of the optic nerve head was seen in the FA. Conclusion: When compared with the FA, the OCTA can illustrate the ischemic areas and the Elschnig spots with greater detail.
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spelling doaj.art-018c9b3ce86142b99299d59edf59cca32022-12-22T04:33:32ZengKnowledge EJournal of Ophthalmic & Vision Research2008-20102008-322X2022-08-0117343243610.18502/jovr.v17i3.11583jovr.v17i3.11583Optical Coherence Tomography Angiography Findings in Malignant Hypertensive RetinopathyAhmad Mirshahi0Reza Karkhaneh1Ramak Roohipour2Mohammadbagher Rajabi3Zakieh Vahedian4Fatemeh Bazvand5 Eye Research Center, Farabi Eye Hospital, Iran Eye Research Center, Farabi Eye Hospital, Iran Eye Research Center, Farabi Eye Hospital, Iran Eye Research Center, Farabi Eye Hospital, Iran Eye Research Center, Farabi Eye Hospital, Iran Eye Research Center, Farabi Eye Hospital, IranAbstract Background: To report the findings of fluorescein angiography (FA) and optical coherence tomography angiography (OCTA) in a patient with malignant hypertensive retinopathy. Case Report: A 41year-old male was referred to our clinic with sudden visual loss in both of his eyes after an acute rise of blood pressure (200/150 mmHg). Optic disc swelling, flame shape hemorrhages especially around the optic disc, arterial narrowing, vessel tortuosity, cotton wool spots, hard exudate deposition, and multiple deep orange spots (Elschnig spots) were visible in both eyes. In the OCTA, disruption in the normal tapering patterns of the superficial and deep capillary plexuses was observed. Elschnig spots were observed as hypointense spots in the choriocapillaris slab. Leakage of the optic nerve head was seen in the FA. Conclusion: When compared with the FA, the OCTA can illustrate the ischemic areas and the Elschnig spots with greater detail.https://doi.org/10.18502/jovr.v17i3.11583fluorescein angiographymalignant hypertensionoptical coherence tomography angiographyretinopathy
spellingShingle Ahmad Mirshahi
Reza Karkhaneh
Ramak Roohipour
Mohammadbagher Rajabi
Zakieh Vahedian
Fatemeh Bazvand
Optical Coherence Tomography Angiography Findings in Malignant Hypertensive Retinopathy
Journal of Ophthalmic & Vision Research
fluorescein angiography
malignant hypertension
optical coherence tomography angiography
retinopathy
title Optical Coherence Tomography Angiography Findings in Malignant Hypertensive Retinopathy
title_full Optical Coherence Tomography Angiography Findings in Malignant Hypertensive Retinopathy
title_fullStr Optical Coherence Tomography Angiography Findings in Malignant Hypertensive Retinopathy
title_full_unstemmed Optical Coherence Tomography Angiography Findings in Malignant Hypertensive Retinopathy
title_short Optical Coherence Tomography Angiography Findings in Malignant Hypertensive Retinopathy
title_sort optical coherence tomography angiography findings in malignant hypertensive retinopathy
topic fluorescein angiography
malignant hypertension
optical coherence tomography angiography
retinopathy
url https://doi.org/10.18502/jovr.v17i3.11583
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