Abstract
The authors report a case of exudative retinal detachment of the posterior pole and peripheral choroidal detachment in a patient with renovascular accelerated hypertension. The peculiar clinical situation of this patient was comparable with experimental models of hypertension recently reported in the literature. Both the retinal and the choroidal detachment regressed after blood pressure stabilization with systemic antihypertensive therapy, supporting a choroidal pathogenesis for the chorioretinal lesions.
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Brunner HR, Gavras H. Clinical implication of renin in the hypertensive patient. JAMA 1975; 233: 1081–3.
Burian HM. Pigment epithelium changes in arteriosclerotic choroidopathy. Am J Ophthalmol 1969; 68: 412–6.
De Venecia G, Jampol LM. The eye in accelerated hypertension. II. Localized serous detachment of the retina in patients. Arch Ophthalmol 1984; 102: 68–73.
Dollery CT, Hill DW, Hodge JV. The response of normal retinal blood vessels to angiotensin and noradrenalin. J Physiol 1963; 165: 500–7.
Gaudric A, Coscas G, Bird AC. Choroidal ischemia. Am J Ophthalmol 1982; 94: 489–93.
Gaudric A, Sterkers M, Coscas G. Retinal detachment after ischemia. Am J Ophthalmol 1987; 104: 364–72.
Goldblatt H, Lynch S, Hanzal RF, Summerville WW. Studies on experimental hypertension. I. The production of persistent elevation of systolic blood pressure by means of renal ischemia. J Exp Med 1934; 59: 347–79.
Hayreh SS, Servais GE, Virdi PS. Fundus lesions in malignant hypertension. VI. Hypertensive choroidopathy. Ophthalmol 1986; 93: 1383–400.
Kishi S, Tso MOM, Hayreh SS. Fundus lesions in malignant hypertension. I. A pathologic study of experimental hypertensive choroidopathy. Arch Ophthalmol 1985; 103: 1189–97.
Klien BA. Ischemic infarcts of the choroid (Elschnig's spots). Am J Ophthalmol 1968; 66: 1069–74.
Morse PH. Elschnig's spots and hypertensive choroidopathy. Am J Ophthalmol 1968; 66: 844–52.
Poujoul J. A characteristic echographic sign of choroidal detachment. The appearance of the angle of junction with the ocular wall. Doc Ophthalmol Proceeding Series 1981; 29: 265–7.
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Pierro, L., Pece, A., Camesasca, F. et al. Hypertensive choroidopathy: A case report. Int Ophthalmol 15, 9–14 (1991). https://doi.org/10.1007/BF00150973
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DOI: https://doi.org/10.1007/BF00150973