Document Detail

Localized Serous Retinal Detachment of Macula as a Marker of Malignant Hypertension.
MedLine Citation:
PMID:  20337299     Owner:  NLM     Status:  Publisher    
The association between serous retinal detachment of macula (SRD) in hypertensive retinopathy (HTR) and malignant hypertension has been reported. This cross-sectional study included 14 consecutive patients on treatment for hypertension, who were referred for ophthalmic evaluation and were found to have macular SRD, documented by optical coherence tomography. All underwent systemic evaluation for hypertensive status and to rule out other associated/similar diseases such as diabetes, coagulopathies, lupus etc. The mean age of the patients was 44.35 +/- 15.5 years; the mean best-corrected visual acuity was 6/12. All had grade 3-4 HTR; 10 patients had bilaterally symmetrical retinopathy (grade 3 or 4); 4 had asymmetric fundus changes. Systemically, every patient was found to have malignant hypertension. The mean systolic and diastolic pressures were 208.57 +/- 32.78 and 117.86 +/- 14.2 mm Hg, respectively. SRD predicted malignant hypertension more consistently than papilledema (P = .0132). The presence of macular SRD in a hypertensive patient may serve as an indicator of malignant hypertension.
Dhananjay Shukla; Bharat Ramchandani; T P Vignesh; Anand Rajendran; Nithya Neelakantan
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-3-09
Journal Detail:
Title:  Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye     Volume:  -     ISSN:  1542-8877     ISO Abbreviation:  Ophthalmic Surg Lasers Imaging     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-3-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101155780     Medline TA:  Ophthalmic Surg Lasers Imaging     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-7     Citation Subset:  -    
Copyright Information:
Copyright 2010, SLACK Incorporated.
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