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Proliferative Hypertensive Retinopathy

Tomasz P. Stryjewski, MD, MPP1; Thanos D. Papakostas, MD1,2; Demetrios Vavvas, MD, PhD1,2
[+] Author Affiliations
1Retina Service, Massachusetts Eye and Ear Infirmary, Boston
2Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts
JAMA Ophthalmol. 2016;134(3):345-346. doi:10.1001/jamaophthalmol.2015.5583.
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This case report describes a patient who had proliferative retinopathy as an acute presentation of severe uncontrolled hypertension.

Proliferative retinopathy is a common end point for many retinal vascular diseases but has not been previously reported as an acute presentation of uncontrolled malignant hypertension. We present a case of severe uncontrolled hypertension in a man who presented with bilateral retinal ischemia, neovascularization, proliferative retinopathy, and tractional retinal detachment.

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Fundus Images and Fluorescent Angiography

A, Large fibrovascular frond obscuring the optic nerve and creating a shallow retinal detachment. B, Poor early filling in both choroidal and retinal circulation. C, Moderate leakage throughout the posterior pole and continued hypoperfusion. D, Marked late leakage.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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