Malignant hypertension – Optical coherence tomography grading and optical coherence tomography characteristics

This photo essay describes the fundoscopic and optical coherence tomography (OCT) grading and characteristics of hypertensive retinopathy (HTR). A 34-year-old male presented with decreased vision of 20/40 N10 in both eyes following diagnosis of malignant hypertension. Fundus examination showed papil...

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Main Author: Priya Rasipuram Chandrasekaran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:TNOA Journal of Ophthalmic Science and Research
Subjects:
Online Access:http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2021;volume=59;issue=2;spage=214;epage=215;aulast=Chandrasekaran
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author Priya Rasipuram Chandrasekaran
author_facet Priya Rasipuram Chandrasekaran
author_sort Priya Rasipuram Chandrasekaran
collection DOAJ
description This photo essay describes the fundoscopic and optical coherence tomography (OCT) grading and characteristics of hypertensive retinopathy (HTR). A 34-year-old male presented with decreased vision of 20/40 N10 in both eyes following diagnosis of malignant hypertension. Fundus examination showed papilledema, intraretinal transudates, cotton wool spots, arteriovenous crossing changes, and superficial and deep hemorrhages with a partial macular star consistent with Grade 4 HTR. OCT macula revealed changes in the nerve fiber layer, outer nuclear layer, outer plexiform layer, and outer photoreceptor layer comprising inner segment/outer segment (OS) layer, external limiting membrane, and cone OS tips under the fovea with varied central subfoveal thickness. The fundoscopy grading of HTR was Keith–Wagener–Barker Grade 4 and that of OCT grading was Ahn Grade 3.
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spelling doaj.art-a822675d351c42d7b8637145f8d51e332022-12-21T22:05:24ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362021-01-0159221421510.4103/tjosr.tjosr_161_20Malignant hypertension – Optical coherence tomography grading and optical coherence tomography characteristicsPriya Rasipuram ChandrasekaranThis photo essay describes the fundoscopic and optical coherence tomography (OCT) grading and characteristics of hypertensive retinopathy (HTR). A 34-year-old male presented with decreased vision of 20/40 N10 in both eyes following diagnosis of malignant hypertension. Fundus examination showed papilledema, intraretinal transudates, cotton wool spots, arteriovenous crossing changes, and superficial and deep hemorrhages with a partial macular star consistent with Grade 4 HTR. OCT macula revealed changes in the nerve fiber layer, outer nuclear layer, outer plexiform layer, and outer photoreceptor layer comprising inner segment/outer segment (OS) layer, external limiting membrane, and cone OS tips under the fovea with varied central subfoveal thickness. The fundoscopy grading of HTR was Keith–Wagener–Barker Grade 4 and that of OCT grading was Ahn Grade 3.http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2021;volume=59;issue=2;spage=214;epage=215;aulast=Chandrasekaranmalignant hypertensionoptical coherence tomography characteristicsoptical coherence tomography grading
spellingShingle Priya Rasipuram Chandrasekaran
Malignant hypertension – Optical coherence tomography grading and optical coherence tomography characteristics
TNOA Journal of Ophthalmic Science and Research
malignant hypertension
optical coherence tomography characteristics
optical coherence tomography grading
title Malignant hypertension – Optical coherence tomography grading and optical coherence tomography characteristics
title_full Malignant hypertension – Optical coherence tomography grading and optical coherence tomography characteristics
title_fullStr Malignant hypertension – Optical coherence tomography grading and optical coherence tomography characteristics
title_full_unstemmed Malignant hypertension – Optical coherence tomography grading and optical coherence tomography characteristics
title_short Malignant hypertension – Optical coherence tomography grading and optical coherence tomography characteristics
title_sort malignant hypertension optical coherence tomography grading and optical coherence tomography characteristics
topic malignant hypertension
optical coherence tomography characteristics
optical coherence tomography grading
url http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2021;volume=59;issue=2;spage=214;epage=215;aulast=Chandrasekaran
work_keys_str_mv AT priyarasipuramchandrasekaran malignanthypertensionopticalcoherencetomographygradingandopticalcoherencetomographycharacteristics