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Hypertensive emergency: a look into the eye
  1. Ritu Kumari1,
  2. Anish Kapil2,
  3. Vijeta Grewal3,
  4. Shubhra Sweta1
  1. 1Department of Ophthalmology, PGIMER and Dr Ram Manohar Lohia Hospital, New Delhi, India
  2. 2Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
  3. 3Department of Medicine, PGIMER and Dr Ram Manohar Lohia Hospital, New Delhi, India
  1. Correspondence to Dr Ritu Kumari, Department of Ophthalmology, PGIMER and Dr Ram Manohar Lohia Hospital, New Delhi 110001, India; dr.ritudalla{at}gmail.com

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A 26-year-old man presented to the ophthalmology clinic with sudden painless diminution of vision of both eyes for last 3 days. His corrected visual acuity was 20/200 in right eye and 20/400 in left eye. Fundoscopic examination (figure 1) showed grade IV hypertensive retinopathy with soft exudates (blue arrow), hard exudates (black arrow), macular star (white arrow) and papilledema (blue arrowhead). Retinal oedema and haemorrhages were seen (white arrowhead), along with arterio-venous crossing changes in the form of Gunn sign (black arrowhead).

Figure 1

Fundoscopic examination showing soft …

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Footnotes

  • RK and AK are joint first authors.

  • Twitter @akapil15

  • Contributors RK and SS: worked up the case, took the photographs and wrote the manuscript. AK and VG: involved in clinical management and final review of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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