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Mirshahi A, Karkhaneh R, Roohipour R, Rajabi M, Vahedian Z, Bazvand F. Optical Coherence Tomography Angiography Findings in Malignant Hypertensive Retinopathy. JOVR [Internet]. 2022Aug.9 [cited 2024Apr.25];17(3):432–436. Available from: https://knepublishing.com/index.php/JOVR/article/view/11583

https://doi.org/10.18502/jovr.v17i3.11583

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authors

  • Ahmad Mirshahi

    Ahmad Mirshahi

    Eye Research Center, Farabi Eye Hospital, Iran
  • Reza Karkhaneh

    Reza Karkhaneh

    Eye Research Center, Farabi Eye Hospital, Iran
  • Ramak Roohipour

    Ramak Roohipour

    Eye Research Center, Farabi Eye Hospital, Iran
  • Mohammadbagher Rajabi

    Mohammadbagher Rajabi

    Eye Research Center, Farabi Eye Hospital, Iran
  • Zakieh Vahedian

    Zakieh Vahedian

    Eye Research Center, Farabi Eye Hospital, Iran
  • Fatemeh Bazvand

    Fatemeh Bazvand

    Eye Research Center, Farabi Eye Hospital, Iran

Published Date

  • Aug 9, 2022
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Optical Coherence Tomography Angiography Findings in Malignant Hypertensive Retinopathy

Journal of Ophthalmic and Vision Research (JOVR) / July–Sep 2022, Volume 17, Issue 3 / Pages 432–436

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.

Keywords:

Fluorescein Angiography, Malignant Hypertension, Optical Coherence Tomography Angiography, Retinopathy

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