DR. FARNAZ YAZEER

DR. AMIT KUMAR DEB, DR. SHREYAS T S, DR. PRATIK GERA, DR. ANUREET KAUR

Abstract

Grade IV hypertensive retinopathy (HTR) is characterized by bilateral disc edema, retinal flame-shaped hemorrhages, and cotton wool spots. Choroidopathy is a rare manifestation seen in young hypertensives. Exudative retinal detachment (RD) in hypertensive emergency is an even rarer finding. We, hereby, report such a rarer case of exudative RD in association with Grade IV HTR. A 28-year-old known hypertensive male presented with bilateral blurring of vision. He had chronic kidney disease for 6 months. Visual acuity was hand movements in both eyes. Fundus examination revealed bilateral optic disc edema, peripapillary hemorrhages, cotton wool spots, macular hard exudates, Elschnig spots, Siegrist streaks, and inferior exudative RD. BP was 184/100 mmHg, Hb 4.6 g/dl, Urea 247 mg/dl, Creatinine 20 mg/dl. Non-contrast CT Brain was normal. He was admitted to Emergency services for urgent blood pressure control and hemodialysis. On follow-up, vision improved to RE 6/18 and LE 6/9