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By Maurice F. Rabb
From the collection of Maurice F. Rabb, M.D. - Uploaded on Oct 15, 2013.
- Rating
- Appears in
- Hypertensive Retinopathy
- Condition/keywords
- hypertensive retinopathy
- Description
- The patient is a 61 year old female who first noted decreased vision in OS one year ago. The right eye is asymptomatic. The patient has systemic hypertension. There is a questionable history of angina. She has low back pain and leg pains of a non-specific nature. Uncorrected vision is OD was 20/25-, not improvable, and in OS 20/400, not improvable. Blood pressure recorded in the office was 230/105. There was mild nuclear sclerosis. Both fundi are characterized by multiple vascular abnormalities consistent with nerve fibers infarcts, hemorrhages (both deep and superficial), and occasional microaneurysms. In OS, there is a large subretinal and preretinal hemorrhage in the macula. This is surrounded by a wreath of outer retinal exudates.
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