Open AccessBilateral retinal pigment epithelial rips in hypertensive choroidopathy
Author(s) -
Yuan-Che Tai,
Jerry ChienChieh Huang,
Chi-Chin Sun,
Ling Yeung
Publication year - 2016
Publication title -
taiwan journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.519
H-Index - 9
eISSN - 2211-5072
pISSN - 2211-5056
DOI - 10.1016/j.tjo.2015.08.001
Subject(s) - medicine , hypertensive retinopathy , retinal , ophthalmology , retinopathy , complication , optic neuropathy , blood pressure , surgery , optic nerve , endocrinology , diabetes mellitus
Severe systemic hypertension can cause significant damage to the eye. Although hypertensive retinopathy is a well-known complication, hypertensive optic neuropathy and hypertensive choroidopathy are much less common. The aim of this article is to report an unusual case of hypertensive choroidopathy with bullous exudative retinal detachments in both eyes. The retinal detachments spontaneously resolved after blood pressure was controlled. However, multiple large retinal pigment epithelial (RPE) rips were found in both eyes. These RPE rips may be related to severe choroidal ischemia, and their locations may be compatible with the watershed zones of the choroidal perfusions.