Spontaneous bilateral hemorrhagic choroidal detachments associated with malignant hypertension

Authors

Albert Y. Cheung
James A. David
Michael D. Ober, Henry Ford Health

Recommended Citation

Cheung AY, David JA, and Ober MD. Spontaneous bilateral hemorrhagic choroidal detachments associated with malignant hypertension Retin Cases Brief Rep 2016

Document Type

Article

Publication Date

3-1-2017

Publication Title

Retin Cases Brief Rep

Abstract

PURPOSE: To report the details of a patient with bilateral spontaneous suprachoroidal hemorrhages related to malignant hypertension.

METHODS: Observational case report with review of relevant literature.

RESULTS: A 62-year-old man with a history of hypertension was referred secondary to bilateral temporal scotomas and persistent headache for 3 days. Symptoms began during an inpatient admission for malignant hypertension. Examination revealed bilateral 360° hemorrhagic choroidal detachments without retinal hemorrhage or detachment. Choroidal hemorrhages underwent prompt resolution with blood pressure control.

CONCLUSION: Spontaneous suprachoroidal hemorrhage is a rare event and should prompt a focused systemic workup including the evaluation of blood pressure.

Medical Subject Headings

Choroid Diseases; Choroid Hemorrhage; Humans; Hypertension, Malignant; Male; Middle Aged; Scotoma

PubMed ID

27177073

Volume

11

Issue

2

First Page

175

Last Page

179